Characterization of CTX-M-14 and CTX-M-15 producing Escherichia coli strains causing neonatal sepsis

Neonatal sepsis is a disease affecting newborns ≤1 month of age with clinical symptoms and positive blood cultures. The number of Escherichia coli strains causing neonatal sepsis resistant to the antibiotics used in the treatment is increasing. In this study, two E. coli strains causing sepsis in ne...

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Detalles Bibliográficos
Autores: Sáez-López, Emma, Guiral Vilalta, Elisabet, López, Yuly, Montero, Ignacio, Bosch Mestres, Jordi, Vila Estapé, Jordi, Soto González, Sara M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/110362
Acceso en línea:https://hdl.handle.net/2445/110362
Access Level:acceso abierto
Palabra clave:Infeccions per escheríchia coli
Septicèmia
Neonatologia
Plasmidis
Resistència als medicaments
Morbiditat
Escherichia coli infections
Septicemia
Neonatology
Plasmids
Drug resistance
Morbidity
Descripción
Sumario:Neonatal sepsis is a disease affecting newborns ≤1 month of age with clinical symptoms and positive blood cultures. The number of Escherichia coli strains causing neonatal sepsis resistant to the antibiotics used in the treatment is increasing. In this study, two E. coli strains causing sepsis in neonates of mothers infected with an E. coli strain harboring extended spectrum beta-lactamases were characterized. The blaCTX-M-15 and the blaCTX-M-14 genes were found in an IncFIA and nontypeable transferable plasmids, respectively. In addition, these highly virulent strains belonged to ST705 and ST156 clonal groups, respectively. The presence of strains, which are highly virulent and resistant to ampicillin, gentamicin, and cephalosporins, makes a change in empirical treatment necessary as well as an increase in the surveillance of these infections.