Journal
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
Volume 66, Issue 4, Pages 689-692Publisher
OXFORD UNIV PRESS
DOI: 10.1093/jac/dkq520
Keywords
metallo-beta-lactamases; carbapenemases; Enterobacteriaceae; India; Pakistan
Funding
- INSERM [U914]
- Ministere de l'Education Nationale et de la Recherche, Universite Paris XI, Paris, France [UPRES-EA3539]
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The NDM-1 gene, first identified in Sweden in 2008 in Klebsiella pneumoniae from a patient hospitalized in New Delhi, encodes a metallo-beta-lactamase that inactivates all beta-lactams except aztreonam. This bla(NDM-1) gene has been identified in hospital-acquired bacterial species, such as K. pneumoniae, but also in the typical community-acquired species, Escherichia coli. This gene has been identified in strains that possess other resistance mechanisms contributing to their multidrug resistance patterns. It has been recently extensively reported from the UK, India and Pakistan and, albeit to a lesser extent, from a number of other countries worldwide. In most of the cases a link with the Indian subcontinent has also been established. To stem the onslaught of NDM producers, early identification of cases of NDM-related infections and prevention of their spread by implementing screening, hygiene measures and the isolation of carriers is needed.
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