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PER-1 production in a urinary isolate of Providencia rettgeri
1SSK Educational Hospital Clinical Microbiology, Ankara, Turkey. gulbahkar@hotmail.com
Abstract:
A Providencia rettgeri strain resistant to extended-spectrum cephalosporins and intermediate to aztreonam was isolated from the urine of a patient hospitalized in the urology clinic of SSK Educational Hospital in Ankara. Clavulanic acid restored the activity of extended-spectrum cephalosporins, suggesting that the strain was harboring an extended-spectrum beta-lactamase. Since the PER-1 enzyme is widespread in Turkey, and had been already detected in a related species such as Proteus mirabilis, the Providencia strain was suspected of harboring a PER-1 enzyme, which was indeed detected by PCR. This is the first description in a P. rettgeri isolate of a PER-1 enzyme which is widespread among Acinetobacter baumanni and Pseudomonas aeruginosa strains in Turkey.
Insights
A Providencia rettgeri strain producing the PER-1 extended-spectrum beta-lactamase was identified. This enzyme confers resistance to cephalosporins and is now described in P. rettgeri for the first time.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Extended-spectrum cephalosporins are crucial antibiotics.
- Extended-spectrum beta-lactamases (ESBLs) are enzymes that confer resistance to these drugs.
- The PER-1 enzyme is prevalent in Turkey, particularly in Acinetobacter baumannii and Pseudomonas aeruginosa.
Purpose of the Study:
- To characterize an antibiotic-resistant Providencia rettgeri isolate.
- To identify the specific beta-lactamase enzyme responsible for resistance.
- To report the first instance of PER-1 enzyme in P. rettgeri.
Main Methods:
- Bacterial isolation and antimicrobial susceptibility testing.
- Phenotypic detection of extended-spectrum beta-lactamase activity using clavulanic acid.
- Molecular detection of the PER-1 gene using Polymerase Chain Reaction (PCR).
Main Results:
- A Providencia rettgeri strain exhibited resistance to extended-spectrum cephalosporins and intermediate resistance to aztreonam.
- Clavulanic acid restored susceptibility to extended-spectrum cephalosporins, indicating ESBL production.
- PCR confirmed the presence of the PER-1 gene in the isolated strain.
Conclusions:
- This study reports the first detection of the PER-1 extended-spectrum beta-lactamase in a Providencia rettgeri isolate.
- The findings highlight the potential for carbapenemase spread among different bacterial species.
- This underscores the importance of continuous surveillance for antibiotic resistance mechanisms in clinical settings.
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