High prevalence of cfxA beta-lactamase in aminopenicillin-resistant Prevotella strains isolated from periodontal pockets

Oral Microbiol Immunol. 2002 Apr;17(2):85-8. doi: 10.1046/j.0902-0055.2001.00096.x.

Abstract

This prospective study was designed to investigate amoxicillin-resistant oral anaerobes, and to identify their beta-lactamase-encoding genes. Three subgingival bacterial samples were collected from 12 patients suffering from periodontitis. One to seven beta-lactamase-producing strains were obtained from each patient, mostly belonging to the Prevotella genus (Bacteroides eggerthii, 2/35 strains; Prevotella sp., 33/35 strains). PCR assays were used to detect cfxA and cepA/cblA, the genes encoding class A/group2e beta-lactamases previously described in the Bacteroides fragilis group. The present investigation confirmed the role of Prevotella species as beta-lactamase producers in periodontal pockets. Additionally, this PCR screening showed (1): the high prevalence of CfxA beta-lactamase production by aminopenicillin-resistant Prevotella (32/33: 97.0% positive strains) vs. cepA/cblA (1/33: 3.0% positive strains), and (2) the presence of cfxA in the periodontal reservoir in the absence of antimicrobial therapy during the previous 6 months.

MeSH terms

  • Amoxicillin / pharmacology
  • Amoxicillin-Potassium Clavulanate Combination / pharmacology
  • Anti-Bacterial Agents / pharmacology
  • Drug Resistance, Bacterial / genetics
  • Drug Therapy, Combination / pharmacology
  • Erythromycin / pharmacology
  • Fimbriae Proteins
  • Genes, Bacterial / genetics*
  • Humans
  • Membrane Proteins / genetics
  • Penicillin Resistance / genetics*
  • Penicillins / pharmacology
  • Periodontal Pocket / microbiology*
  • Periodontitis / microbiology
  • Phenotype
  • Polymerase Chain Reaction
  • Prevotella / classification
  • Prevotella / genetics*
  • Prospective Studies
  • Tetracycline / pharmacology
  • Tetracycline Resistance / genetics
  • beta-Lactamases / genetics*

Substances

  • Anti-Bacterial Agents
  • Membrane Proteins
  • Penicillins
  • Fimbriae Proteins
  • Erythromycin
  • Amoxicillin-Potassium Clavulanate Combination
  • Amoxicillin
  • cfxA protein, Prevotella
  • beta-Lactamases
  • Tetracycline