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Published on: February 18, 2014
Carbapenem-resistant Pseudomonas aeruginosa in malaysia producing IMP-7 beta-lactamase
Siaw Eng Ho1, Geetha Subramaniam, Selvi Palasubramaniam
1Department of Medical Microbiology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
Abstract:
We have isolated and identified a carbapenem-resistant Pseudomonas aeruginosa strain from Malaysia that produces an IMP-7 metallo-beta-lactamase. This isolate showed high-level resistance to meropenem and imipenem, the MICs of which were 256 and 128 micro g/ml, respectively. Isoelectric focusing analyses revealed pI values of >9.0, 8.2, and 7.8, which indicated the possible presence of IMP and OXA. DNA sequencing confirmed the identity of the IMP-7 determinant.
Insights
A carbapenem-resistant Pseudomonas aeruginosa strain producing IMP-7 metallo-beta-lactamase was identified in Malaysia. This discovery highlights the spread of antimicrobial resistance and the need for effective treatment strategies.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Pseudomonas aeruginosa is an opportunistic pathogen.
- Carbapenem resistance is a growing global health concern.
- Metallo-beta-lactamases (MBLs) are key enzymes conferring carbapenem resistance.
Purpose of the Study:
- To isolate and identify carbapenem-resistant Pseudomonas aeruginosa from Malaysia.
- To characterize the resistance mechanisms, specifically metallo-beta-lactamase production.
Main Methods:
- Isolation and identification of bacterial strains.
- Antimicrobial susceptibility testing (MIC determination).
- Isoelectric focusing (IEF) for enzyme characterization.
- DNA sequencing for determinant identification.
Main Results:
- A carbapenem-resistant Pseudomonas aeruginosa strain was isolated from Malaysia.
- The isolate exhibited high-level resistance to meropenem (MIC: 256 µg/ml) and imipenem (MIC: 128 µg/ml).
- IMP-7 metallo-beta-lactamase was identified as the resistance determinant.
Conclusions:
- The presence of IMP-7 in Malaysia signifies a new geographical spread of this carbapenemase.
- This finding underscores the urgent need for enhanced surveillance and infection control measures.
- Understanding resistance mechanisms is crucial for developing effective therapeutic interventions.
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