Spread of NDM-1-producing Enterobacteriaceae in a neonatal intensive care unit in Istanbul, Turkey

Antimicrob Agents Chemother. 2014 May;58(5):2929-33. doi: 10.1128/AAC.02047-13. Epub 2014 Feb 18.

Abstract

Twenty-two consecutive carbapenem-resistant enterobacterial isolates were recovered from patients hospitalized between January and April 2013 in different units at a university hospital in Istanbul, Turkey. These were Klebsiella pneumoniae isolates producing the carbapenemases OXA-48, NDM-1, and KPC-2, Enterobacter cloacae isolates producing NDM-1, and Escherichia coli isolates producing OXA-48. Most of the OXA-48-producing K. pneumoniae and all the NDM-1-producing E. cloacae were clonally related. The NDM-1-producing E. cloacae isolates recovered from a single neonatal intensive care unit corresponded to a single cluster, highlighting the spread of that clone in that setting.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Enterobacteriaceae / enzymology*
  • Enterobacteriaceae / genetics
  • Escherichia coli / enzymology
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units
  • Klebsiella pneumoniae / enzymology*
  • Male
  • Microbial Sensitivity Tests
  • Turkey
  • beta-Lactamases / genetics*

Substances

  • Anti-Bacterial Agents
  • beta-Lactamases
  • beta-lactamase NDM-1