Ceftazidime-resistant Enterobacteriaceae isolates from three Polish hospitals: identification of three novel TEM- and SHV-5-type extended-spectrum beta-lactamases

Antimicrob Agents Chemother. 1998 Mar;42(3):514-20. doi: 10.1128/AAC.42.3.514.

Abstract

Twelve ceftazidime-resistant isolates of the family Enterobacteriaceae (11 Klebsiella pneumoniae isolates and 1 Escherichia coli isolate) were collected in 1995 from three Polish hospitals located in different cities. All were identified as producers of extended-spectrum beta-lactamases (ESBLs). Detailed analysis of their beta-lactamase contents revealed that six of them expressed SHV-5-like ESBLs. The remaining six were found to produce three different TEM enzymes, each characterized by a pI value of 6.0 and specified by new combinations of amino acid substitutions. The amino acid substitutions compared to the TEM-1 beta-lactamase sequence were Gly238Ser, Glu240Lys, and Thr265Met for TEM-47; Leu21Phe, Gly238Ser, Glu240Lys, and Thr265Met for TEM-48; and Leu21Phe, Gly238Ser, Glu240Lys, Thr265Met, and Ser268Gly for TEM-49. The new TEM beta-lactamases, TEM-47, TEM-48, and TEM-49, belong to a subfamily of TEM-2-related enzymes. Genes coding for TEM-47 and TEM-49 could have originated from the TEM-48-encoding sequence by various single genetic events. The new TEM derivatives probably document the already advanced microevolution of ESBLs ongoing in Polish hospitals, in a majority of which no monitoring of ESBL producers was performed before 1996.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacterial Proteins / drug effects
  • Bacterial Proteins / genetics*
  • Ceftazidime / pharmacology*
  • Cephalosporins / pharmacology*
  • Drug Resistance, Microbial / genetics
  • Escherichia coli / drug effects*
  • Escherichia coli / enzymology
  • Humans
  • Klebsiella pneumoniae / drug effects*
  • Klebsiella pneumoniae / enzymology
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Point Mutation
  • Polymerase Chain Reaction
  • beta-Lactamases / drug effects
  • beta-Lactamases / genetics*

Substances

  • Bacterial Proteins
  • Cephalosporins
  • Ceftazidime
  • beta-Lactamases

Associated data

  • GENBANK/Y10278
  • GENBANK/Y10279
  • GENBANK/Y10280
  • GENBANK/Y10281