Article
Molecular epidemiology of KPC-2–producing Enterobacteriaceae (non–Klebsiella pneumoniae) isolated from Brazil
Registro en:
TAVARES, Carolina Padilha; et al. Molecular epidemiology of KPC-2–producing Enterobacteriaceae (non–Klebsiella pneumoniae) isolated from Brazil. Diagn Microbiol Infect Dis., v.82, n.4, p.326-30, Aug. 2015.
0732-8893
1016/j.diagmicrobio.2015.04.002
Autor
Tavares, Carolina Padilha
Pereira, Polyana Silva
Marques, Elizabeth de Andrade
Faria Jr., Celio
Souza, Maria da Penha Araújo Herkenhoff de
Almeida, Robmary de
Alves, Carlene de Fátima Morais
Asensi, Marise Dutra
Assef, Ana Paula D’Alincourt Carvalho
Resumen
In Brazil, since 2009, there has been an ever increasing widespread of the blaKPC-2 gene, mainly in Klebsiella
pneumoniae. This study aims to assess the molecular epidemiology and genetic background of this gene in
Enterobacteriaceae (non–K. pneumoniae) species from9 Brazilian states between 2009 and 2011. Three hundred
eighty-seven isolateswere analyzed exhibiting nonsusceptibility to carbapenems, inwhich the blaKPC-2 gene was
detected in 21.4%. By disk diffusion and E-test, these isolates exhibited high rates of resistance to most of the
antimicrobials tested, including tigecycline (45.6% nonsusceptible) and polymyxin B (16.5%), the most resistant
species being Enterobacter aerogenes and Enterobacter cloacae. We found great clonal diversity and a variety of
blaKPC-2–carrying plasmids, all of them exhibiting a partial Tn4401 structure. Therefore, this study demonstrates
the dissemination of KPC-2 in 9 Enterobacteriaceae species, including species thatwere not previously described
such as Pantoea agglomerans and Providencia stuartii.