ArticleJournal of clinical microbiology2002
Occurrence of a multidrug-resistant Pseudomonas aeruginosa clone in different hospitals in Rio de Janeiro, Brazil.
Article in Journal of clinical microbiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 110 citations in OpenAlex.
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- Intracellular Synthesis of Gold Nanoparticles Using an Ectomycorrhizal Strain EM-1083 ofIndian journal of microbiology · 2017Article
- Mechanisms of carbapenem resistance in endemic Pseudomonas aeruginosa isolates after an SPM-1 metallo-β-lactamase producing strain subsided in an intensive care unit of a teaching hospital in Brazil.Memorias do Instituto Oswaldo Cruz · 2016Article
- Occurrence of Multidrug Resistant Extended Spectrum Beta-Lactamase-Producing Bacteria on Iceberg Lettuce Retailed for Human Consumption.BioMed research international · 2015Article
- Detection of extended spectrum beta lactamases, ampc beta lactamases and metallobetalactamases in clinical isolates of ceftazidime resistant Pseudomonas Aeruginosa.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2011Article
- Acinetobacter soli as a cause of bloodstream infection in a neonatal intensive care unit.Journal of clinical microbiology · 2011Article
- New and sensitive assay for determining Pseudomonas aeruginosa metallo-beta-lactamase resistance to imipenem.Journal of clinical microbiology · 2008Article
- Ralstonia pickettii bloodstream infections at a Brazilian cancer institution.Current microbiology · 2008Article
- Outbreaks of multidrug-resistant Pseudomonas aeruginosa in community hospitals in Japan.Journal of clinical microbiology · 2007Article
- Identification of clinical isolates of indole-positive and indole-negative Klebsiella spp.Journal of clinical microbiology · 2006Article
- Risk factors for acquisition of multidrug-resistant Pseudomonas aeruginosa producing SPM metallo-beta-lactamase.Antimicrobial agents and chemotherapy · 2005Article
- Integron carrying a novel metallo-beta-lactamase gene, blaIMP-16, and a fused form of aminoglycoside-resistant gene aac(6')-30/aac(6')-Ib': report from the SENTRY Antimicrobial Surveillance Program.Antimicrobial agents and chemotherapy · 2004Article
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- Towards "molecular Esperanto" or the Tower of Babel? (the need for harmonization of techniques for genotyping clinical isolates of Pseudomonas aeruginosa isolated from patients with cystic fibrosis).Journal of clinical microbiology · 2003Article
- Ambler class A extended-spectrum beta-lactamases in Pseudomonas aeruginosa: novel developments and clinical impact.Antimicrobial agents and chemotherapy · 2003Review
- Genetic and phenotypic variations of a resistant Pseudomonas aeruginosa epidemic clone.Antimicrobial agents and chemotherapy · 2003Article
- Evidence for spread of a clonal strain of Pseudomonas aeruginosa among cystic fibrosis clinics.Journal of clinical microbiology · 2003Article
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Authors and funding
11 authors at 3 institutions in 3 countries.
Funding
Abstract
Multidrug-resistant Pseudomonas aeruginosa nosocomial infections are increasingly recognized worldwide. The existence of metallo-beta-lactamase- and extended-spectrum beta-lactamase-producing isolates exhibiting resistance to most beta-lactam antimicrobial agents greatly complicates the clinical management of patients infected with such isolates. Since 1998, P. aeruginosa isolates resistant to all commercially available antimicrobial agents have been detected at a university-affiliated public hospital in Rio de Janeiro, Brazil. The present study was designed to characterize the antimicrobial resistance profiles and the genetic diversity of the P. aeruginosa strains isolated at this hospital and four private hospitals in Rio de Janeiro. Between April 1999 and March 2000, 200 consecutive isolates were obtained and analyzed for antimicrobial resistance. The genetic diversity of a selected number of them was evaluated by pulsed-field gel electrophoresis and PCR with the ERIC-2 primer. A predominant genotype, designated genotype A, was identified among isolates from four of the five hospitals evaluated. Eighty-four ceftazidime-resistant isolates were evaluated for metallo-beta-lactamase production, which was detected in 20 (91%) of 22 genotype A isolates and 11 (18%) of 62 isolates belonging to other genotypes (P < 0.05). Two metallo-beta-lactamase-producing genotype A isolates also produced an extended-spectrum beta-lactamase. The occurrence of multidrug-resistant P. aeruginosa strains belonging to a unique genotype in different hospitals in Rio de Janeiro underscores the importance of the contribution of a single clone to the increase in the incidence of multidrug-resistant P. aeruginosa nosocomial infections.
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