Prevalent Mechanisms of Resistance among Common Enterobacterial Isolates in Greek Hospitals

Microbial Drug Resistance

Volumn 1, Issue 4, 1995, Pages 331-333

  Legakis, N J ^a   Maniatis, A ^a   Tzouvelekis, L S ^b  

^a UNIVERSITY OF ATHENS MEDICAL SCHOOL   (Greece)

^b HELLENIC PASTEUR INSTITUTE   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC RESISTANCE; DRUG EFFECT; ENTEROBACTER; ENTEROBACTER INFECTION; ENTEROBACTERIACEAE; ESCHERICHIA COLI; GENETICS; GREECE; HUMAN; KLEBSIELLA PNEUMONIAE; MICROBIOLOGY; REVIEW;

DRUG RESISTANCE, MICROBIAL; ENTEROBACTER; ENTEROBACTERIACEAE; ENTEROBACTERIACEAE INFECTIONS; ESCHERICHIA COLI; GREECE; HUMANS; KLEBSIELLA PNEUMONIAE;

EID: 0029420614     PISSN: 10766294     EISSN: 19318448     Source Type: Journal    
DOI: 10.1089/mdr.1995.1.331     Document Type: Article

References (22)

1. Amyes, S.G.B., and K.J. Towner. 1990. Trimethoprim resistance: Epidemiology and molecular aspects. J. Med. Microbiol. 31:1-19.
2. Bauernfeind, A., P. Mangold, S. Schweighart, G.H. Miller, K. J. Shaw, H. Giamarellou, and K. Dornbush. 1992. Molecular analysis of a transferable cephamycinase in Klebsiella pneumoniae. Program Abstr. 32nd Intersci. Conf. Antimicrob. Agents Chemother., abstr. 1268.
3. Brown, E.H., R.C. Spencer, and J.M.C. Brown. 1990. The emergence of bacterial resistance in hospitals'a need for continuous surveillance. J. Hosp. Infect. 15(Suppl. A):35-39.
4. Bush, K., G.A. Jacoby, and A.A. Medeiros. 1995. A functional classification scheme for β-lactamases and its correlation with molecular structure. Antimicrob. Agents Chemother. 39:1211-1233.
5. European Study Group on Antibiotic Resistance. 1987. In vitro susceptibility to aminoglycoside antibiotics of blood and urine isolates consecutively collected in twenty-nine European laboratories. Eur. J. Clin. Microbiol. 6:378-385.
6. Flynn, D.M., R.A. Weinstein, C. Nathan, M.A. Gaston, and S.A. Kabins. 1987. Patients’ endogenous flora as the source of “nosocomial” Enterobacter in cardiac surgery. J. Infect. Dis. 156:363-368.
7. Greek Society for Microbiology. 1989. Antibiotic resistance among gram-negative bacilli in 19 Greek hospitals. J. Hosp. Infect. 14:177-181.
8. Heisig, P., L.S. Tzouvelekis, A.C. Vatopoulos, and N.J. Legakis. 1994. Ciprofloxacin resistance in enterobacterial clinical isolates. J. Antimicrob. Chemother. 33:887-888.
9. Legakis, N.J., L.S. Tzouvelekis, A. Tsakris, J.N. Legakis, and A.C. Vatopoulos. 1993. On the incidence of antibiotic resistance among aerobic Gram-negative rods isolated in Greek hospitals. J. Hosp. Infect. 24:233-237.
10. Legakis, N.J., L.S. Tzouvelekis, G. Hatzoudis, E. Tzelepi, A. Gourkou, T.L. Pitt, and A.C. Vatopoulos. 1995. Klebsiella pneumoniae infections in Greek hospitals. Dissemination of plasmids encoding an SHV-5 type beta-lactamase. J. Hosp. Infect. 31:177-187.
11. Marr, J.J., H.L. Moffet, and C.M. Kunin. 1988. Guidelines for improving the use of antimicrobial agents in hospitals: A statement by the infectious Diseases Society of America. J. Infect. Dis. 157:869-876.
12. Quintiliani, R., J.J. Klimek, and C.H. Nightingale. 1986. Restriction policies for therapy with combination antibodies. J. Infect. Dis. 153:645-647.
13. Speller, D.C.E. 1988. The clinical impact to antibiotic resistance. J. Antimicrob. Chemother. 22:583-586.
14. Tsakris, A., A.P. Johnson, R.C. George, S. Mehtar, and A.C. Vatopoulos. 1991. Distribution and transferability of plasmids encoding trimethoprim resistance in urinary pathogens from Greece. J. Med. Microbiol. 34:153-157.
15. Tsakris, A., A.C. Vatopoulos, A.P. Johnson, T.L. Pitt, N.J. Legakis, and L.S. Tzouvelekis. 1992. Prevalence of a plasmid-mediated type II dihydrofolate reductase gene among trimethoprim-resistant urinary pathogens in Greek hospitals. J. Antimicrob. Chemother. 29:405-413.
16. Tsakris, A., A.P. Johnson, N.J. Legakis, and L.S. Tzouvelekis. 1993. Prevalence of the type I and type IIDHFR genes in trimethoprim-resistant urinary isolates of Escherichia coli from Greece. J. Antimicrob. Chemother. 33:665-671.
17. Tzelepi, E., L.S. Tzouvelekis, A.C. Vatopoulos, A.F. Mentis, A. Tsakris, and N.J. Legakis. 1992. High prevalence of stably derepressed class-I β-lactamase expression in multiresistant clinical isolates of Enterobacter cloacae from Greek hospitals. J. Med. Microbiol. 36:405-413.
18. Tzouvelekis, L.S., E. Tzelepi, A.F. Mentis, A.C. Vatopoulos, and A. Tsakris. 1992. Imipenem resistance in Enterobacter aerogenes is associated with derepression of chromosomal cephalosporinases and impaired permeability. FEMS Microbiol. Lett. 95:195-200.
19. Tzouvelekis, L.S., E. Tzelepi, and A.F. Mentis. 1994. Nucleotide sequence of a plasmid-mediated cephalosporinase gene (b/aLAT-i) found in Klebsiella pneumoniae. Antimicrob. Agents Chemother. 38:2207-2209.
20. Vatopoulos, A.C., A. Phllippon, L.S. Tzouvelekis, Z. Komninou, and N.J. Legakis. 1990. Prevalence of transferable SHV-5 type β-lactamase in clinical isolates of Klebsiella pneumoniae and Escherichia coli in Greece. J. Antimicrob. Chemother. 26:635-648.
21. Vatopoulos, A.C., A. Tsakris, L.S. Tzouvelekis, N.J. Legakis, T.L. Pitt, G. Miller, C. Shaw, M. Andreou, M. Ntkolopoulou, and Z. Komninou. 1992. Diversity of aminoglycoside resistance in Enterobacter cloacae in Greece. Eur. J. Clin. Microbiol. Infect. Dis. 11:131-138.
22. Weinstein, R.A. 1986. Endemic emergence of cephalosporin-resistant Enterobacter: Relation to prior therapy. Infect. Control 7(Suppl. 2): 120-123.