Journal
TRENDS IN MOLECULAR MEDICINE
Volume 18, Issue 5, Pages 263-272Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.molmed.2012.03.003
Keywords
antibiotic; Gram-negative bacteria; carbapenemase; beta-lactamases
Funding
- UMRS [914]
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The current worldwide emergence of resistance to the powerful antibiotic carbapenem in Enterobacteriaceae constitutes an important growing public health threat. Sporadic outbreaks or endemic situations with enterobacterial isolates not susceptible to carbapenems are now reported not only in hospital settings but also in the community. Acquired class A (KPC), class B (IMP, VIM, NDM), or class D (OXA-48, OXA-181) carbapenemases, are the most important determinants sustaining resistance to carbapenems. The corresponding genes are mostly plasmid-located and associated with various mobile genetic structures (insertion sequences, integrons, transposons), further enhancing their spread. This review summarizes the current knowledge on carbapenem resistance in Enterobacteriaceae, including activity, distribution, clinical impact, and possible novel antibiotic pathways.
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