Outbreak of CTX-M-3-type extended-spectrum β-lactamase-producing Enterobacter cloacae in a pediatric ward

Naohiko Moriguchi, Yuka Itahashi, Nobutada Tabata, Toshiaki Yamazumi, Itaru Furuta, Naohiro Shibata, Yoshichika Arakawa, Hiroshi Miyata

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

A first resistant strain of Enterobacter cloacae was isolated from a blood specimen in a pediatric patient with immature teratoma-developed sepsis after combination chemotherapy. The strain produced extended-spectrum β-lactamase (ESBL), and the same ESBL-producing strains were detected in urine samples from other patients in the pediatric ward. All strains harbored genes for bla CTX-M-3 by polymerase chain reaction (PCR) and sequencing analysis. Analysis of pulsed-field gel electrophoresis revealed that all strains were the same clonal type. These results suggest that ESBL-producing strains might be transmitted in the ward via contact among patients or medical staff.

Original languageEnglish
Pages (from-to)263-266
Number of pages4
JournalJournal of Infection and Chemotherapy
Volume13
Issue number4
DOIs
Publication statusPublished - 08-2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Pharmacology (medical)
  • Infectious Diseases

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