Introduction: OXA-48, a carbapenem-hydrolysing class D β-lactamase, and its variant, OXA-181, are increasingly reported worldwide. This study aimed to describe the prevalence and distribution of OXA-48 and OXA-181 carbapenem-resistant Enterobacteriaceae (CRE) in a tertiary medical centre in Malaysia. Materials & Methods: A total of 13,098 Enterobacteriaceae isolates from various clinical samples were sent to our laboratory between January 2011 and December 2012. Of these, 90 demonstrated reduced susceptibility to at least one carbapenem and were included in this study. Only 88 isolates were successfully subcultured on blood agar (BA). Another 2 isolates failed to grow and were excluded. Of the 88, 2 isolates had the same identification number (repetitive isolates); therefore, 1 isolate was excluded from further analyses. Only 87 isolates were subjected to molecular detection of the blaOXA-48 and blaOXA-181 genes by polymerase chain reaction. Results: Eighty-seven non-repetitive isolates grew following subculture on BA. Of these, 9 (10.34%) were positive for OXA-48 (7 Klebsiella pneumoniae, 2 Escherichia coli). Each isolate originated from different patients. All patients had a history of treatment with at least one cephalosporin and/or carbapenem prior to the isolation of OXA-48 CRE. OXA-181 was detected in one (1.15%) out of the 87 isolates; Conclusions: The prevalence of OXA-48 and OXA-181 CRE among all Enterobacteriaceae isolates in our institution is 0.069% and 0.008%, respectively. Nevertheless, our findings suggest that OXA48 and OXA-181 carbapenemases appear to be important and possibly under-recognised causes of carbapenem resistance in Malaysia.
Enterobacteriaceae

No abstract available.
Enterobacteriaceae* ; Starvation*

No abstract available.
Enterobacteriaceae* ; Korea*

No abstract available.
Abscess ; Enterobacteriaceae* ; Wood*

No abstract available.
Abscess ; Enterobacteriaceae* ; Wood*

240 enterobacteriaceae strains were maintained in EGG medium IPH for 14 years (1985-2000) or 10 years (1990-2000). Results: E.coli, Shigella spp., Salmonella spp., Klebsiella spp. and Proteus spp., survived: 88.6%; 94.44%; 90%; 100%; and 100% respectively, but only 18% of Vibrio cholerae serotype Inaba strains survived. However, 86,67% of Vibrio cholerae serotype Inaba strains survived for 10 years (1990-2000).
Bacterial Infections ; Enterobacteriaceae

Aims: Food safety and drug resistance in bacteria are both important issues globally. Consumption of escargot represents possible food safety problem especially when contaminated with an indicator and multi-drug resistant bacteria. Hence, this study aimed to identify and evaluate susceptibility of Enterobacteriaceae isolated from edible snails Archachatina marginata to antibiotics. Methodology and results: A total of 60 edible snails, A. marginata were purchased from local markets in three states of Nigeria. The edible snails were starved for three days and Enterobacteriaceae were isolated using microbiological procedures. Bacteria was identified by sequencing its partial 16S rRNA, while susceptibility of the bacteria to antibiotic was determined by disc diffusion method. Enterobacteriaceae obtained were Klebsiella (18), Escherichia (16), Citrobacter (10), Salmonella (7) and Enterobacter (5) species. Out of the 56 isolates obtained, 21 (37.5%) were resistant to amoxicillin and amoxicillin/clavulanic acid, 9 (16.07%) were resistant to tetracycline and 4 (7.14%) were resistant to co-trimoxazole. Conclusion, significance and impact of study The number of isolates which show resistant to different antibiotic classes was small. However, coliform bacteria (Escherichia coli, Klebsiella pneumoniae, Citrobacter freundii, and Enterobacter cloacae) isolated from edible snails represent a huge food safety risk to the consumers of edible snails. Hence, high hygienic practices are required for the consumers of edible snails to prevent infection with pathogenic bacteria.
Enterobacteriaceae--isolation & ; purification ; Snails

Extended-spectrum beta-lactamases (ESBLs) in gram-negative organisms have been implicated as the enzymes responsible for resistance to oxyimino-cephalosporins. The incidence of ESBL- producers in Korean isolates of Escherichia coli and Klebsiella pneumoniae were in the range of 4.8 7.5% and 22.5 22.8%, respectively. The ESBL-producing isolates revealed variable levels of resistance to cefotaxime, ceftazidime and aztreonam. They also showed the elevated MIC values of non-beta-lactam antibiotics. SHV-12 and SHV-2a were the enzymes most frequently found in K. pneumoniae strains, but TEM-52 was the most prevalent in E. coli isolates. About 15% of ESBL-producing isolates of Enterobacteriaceae produced CMY-1 enzyme, which conferred resistance to cephamycins such as cefoxitin as well as oxyimino-cephalosporins. Thus, the most common types of ESBLs in Korea are TEM-52, SHV-12, SHV-2a, and CMY-1.
Drug Resistance, Microbial/physiology ; Enterobacteriaceae/isolation & purification ; Enterobacteriaceae/chemistry* ; Enterobacteriaceae Infections/microbiology ; Human ; Korea ; beta-Lactamases/analysis*

BACKGROUND: Several automated and nonautomated systems have been developed and are commercially available for the identification of gram-negative bacilli. EASY 24E+ kit was recently developed as Korean kit for identification of gram-negative bacilli. So we evaluated the accuracy and clinical utility of EASY 24E+ compared with API 20E and VITEK GNI+. METHODS: The 221 clinical isolates of Enterobacteriaceae, including 17 C. freundii, 20 E. cloacae, 31 E. coli, 6 E. aerogenes, 29 K. pneumoniae, 3 K. oxytoca, 11 M. morganii, 13 P. mirabilis, 16 Salmonella spp., 20 S. marcescens, 9 Shigella spp., 22 S. sonnei, 16 S. typhi, 8 Y. pseudotuberculosis and 10 control strains were identified by API 20E, EASY 24E+, and VITEK GNI+. Discrepant strains were performed repeat identifications and we evaluated overall accuracy. RESULTS: All of control strains were correctly identified by three systems. The overall correct results at species level and at the genus level for 221 clinical isolates, were 96.8% and 99.1% by the VITEK GNI+, 97.7% and 97.7% by the EASY 24+ and 99.1% and 100% by the API 20E. All of Salmonella spp., S. typhi and Shigella spp. were correctly identified by all three systems and the discrepant identifications of species were 2 Y. pseudotuberculosis, 3 K. pneumoniae and 2 K. oxytoca by VITEK GNI+, 4 C. freundii and 1 P. mirabilis by EASY 24+, and 2 S. marcescens by API 20E. CONCLUSIONS: All three identification systems are accurate methods for the identification of Enterobacteriaceae, and EASY 24+ is comparable with API 20E and VITEK GNI+.
Cloaca ; Enterobacteriaceae* ; Mirabilis ; Pneumonia ; Salmonella ; Shigella

Carbapenem-resistant Enterobacteriaceae (CRE) are now spread worldwide. In Korea, the number of CRE isolation is rapidly increasing, and impending endemicity is a concern. To cope well with CRE, thorough infection control, such as active surveillance, early detection, strict contact precaution, cleaning the environment, and antibiotic stewardship is very important. Therapeutic options include polymyxin, tigecycline, fosfomycin or the combination of them with carbapenem, which is currently the mainstay of treatment. In addition, various combination regimens with new carbapenemase inhibitors such as avibactam, vaborbactam, or relebactam, and other classes of antimicrobials such as plazomicin and siderophore cephalosporin are in the process of evaluation.
Carbapenems ; Enterobacteriaceae* ; Fosfomycin ; Infection Control ; Korea ; Polymyxins