Dissemination of NDM-1 carbapenemase-producer Providencia stuartii strains in Romanian hospitals: a multicentre study

J Hosp Infect. 2019 Oct;103(2):165-169. doi: 10.1016/j.jhin.2019.04.015. Epub 2019 Apr 27.

Abstract

Several Romanian hospitals have noted increasing isolation of Providencia stuartii strains in recent years, with an alarming rate of carbapenem resistance. In order to provide molecular epidemiological data regarding their dissemination, 77 P. stuartii strains collected from five hospitals located in different regions of Romania were analysed. All strains harboured IncA/C plasmid, and 67 carried the blaNDM-1 gene. Six clonal clusters were differentiated by pulsed-field gel electrophoresis. The predominant subtype was found in all five hospitals. Our study highlights the need for efficient infection-control measures, the optimization of antibiotic use and the targeted surveillance for carbapenemase-producing P. stuartii.

Keywords: Carbapenemase; Clonal dissemination; IncA/C; NDM-1; Providencia stuartii.

Publication types

  • Multicenter Study

MeSH terms

  • Cross Infection / epidemiology*
  • Cross Infection / transmission
  • Enterobacteriaceae Infections / epidemiology*
  • Enterobacteriaceae Infections / transmission
  • Genotype
  • Hospitals
  • Humans
  • Molecular Epidemiology
  • Molecular Typing
  • Plasmids / analysis
  • Providencia / classification
  • Providencia / enzymology*
  • Providencia / genetics
  • Providencia / isolation & purification*
  • Romania / epidemiology
  • beta-Lactamases / genetics*

Substances

  • beta-Lactamases
  • beta-lactamase NDM-1

Supplementary concepts

  • Providencia stuartii