4.7 Article

Outbreak of OXA-48-Positive Carbapenem-Resistant Klebsiella pneumoniae Isolates in France

Journal

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY
Volume 55, Issue 5, Pages 2420-2423

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.01452-10

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Funding

  1. INSERM, France
  2. Ministere de l'Education Nationale et de la Recherche [UPRES-EA3539]
  3. Universite Paris XI, Paris
  4. European Community (TEMPOtest-QC) [HEALTH-2009-241742]

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Seventeen Klebsiella pneumoniae isolates producing the OXA-48 carbapenemase, obtained from 10 patients hospitalized from April to June 2010, mostly in the medical intensive care unit of the Villeneuve-Saint-Georges Hospital in a suburb of Paris, France, were analyzed. Seven patients were infected, of whom five were treated at least with a carbapenem, and five patients died. Molecular analysis showed that the isolates belonged to a single clone that harbored a 70-kb plasmid carrying the bla(OXA-48) gene and coproduced CTX-M-15 and TEM-1 beta-lactamases. This is the first reported outbreak of OXA-48-producing K. pneumoniae isolates in France.

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