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High prevalence of carbapenem resistance among plasmid-mediated AmpC β-lactamase-producing Klebsiella pneumoniae during outbreaks in liver transplantation units
Highlights • Outbreaks due to DHA-1-or CMY-2-producing K. pneumoniae strains occurred. • Carbamenem resistant variants with porin loss were frequently found. • Outbreak strains caused bloodstream infections with high mortality.
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Published in: | International journal of antimicrobial agents 2015-01, Vol.45 (1), p.33-40 |
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container_title | International journal of antimicrobial agents |
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creator | Matsumura, Yasufumi Tanaka, Michio Yamamoto, Masaki Nagao, Miki Machida, Kiyomasa Ito, Yutaka Takakura, Shunji Ogawa, Kohei Yoshizawa, Atsushi Fujimoto, Yasuhiro Okamoto, Shinya Uemoto, Shinji Ichiyama, Satoshi |
description | Highlights • Outbreaks due to DHA-1-or CMY-2-producing K. pneumoniae strains occurred. • Carbamenem resistant variants with porin loss were frequently found. • Outbreak strains caused bloodstream infections with high mortality. |
doi_str_mv | 10.1016/j.ijantimicag.2014.08.015 |
format | article |
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subjects | Adult Aged AmpC Anti-Bacterial Agents - pharmacology Bacteremia - epidemiology Bacteremia - microbiology Bacterial Proteins - genetics beta-Lactam Resistance beta-Lactamases - genetics Carbapenems Carbapenems - pharmacology Case-Control Studies Disease Outbreaks DNA, Bacterial - genetics Female Hospitals, University Humans Infection Control Infectious Disease Japan Klebsiella Infections - epidemiology Klebsiella Infections - microbiology Klebsiella pneumoniae - drug effects Klebsiella pneumoniae - isolation & purification Liver Transplantation Male Middle Aged Molecular epidemiology Multilocus Sequence Typing Outer membrane protein Plasmids Polymerase Chain Reaction Young Adult |
title | High prevalence of carbapenem resistance among plasmid-mediated AmpC β-lactamase-producing Klebsiella pneumoniae during outbreaks in liver transplantation units |
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