Coproduction of KPC-18 and VIM-1 Carbapenemases by Enterobacter cloacae: Implications for Newer β-Lactam-β-Lactamase Inhibitor Combinations.

Abstract:

:Enterobacter cloacae strain G6809 with reduced susceptibility to carbapenems was identified from a patient in a long-term acute care hospital in Kentucky. G6809 belonged to sequence type (ST) 88 and carried two carbapenemase genes, bla(KPC-18) and bla(VIM-1). Whole-genome sequencing localized bla(KPC-18) to the chromosome and bla(VIM-1) to a 58-kb plasmid. The strain was highly resistant to ceftazidime-avibactam. Insidious coproduction of metallo-β-lactamase with KPC-type carbapenemase has implications for the use of next-generation β-lactam-β-lactamase inhibitor combinations.

journal_name

J Clin Microbiol

authors

Thomson GK,Snyder JW,McElheny CL,Thomson KS,Doi Y

doi

10.1128/JCM.02739-15

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

791-4

issue

3

eissn

0095-1137

issn

1098-660X

pii

JCM.02739-15

journal_volume

54

pub_type

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