Imported PER-1 producing Pseudomonas aeruginosa, PER-1 producing Acinetobacter baumanii and VIM-2-producing Pseudomonas aeruginosa strains in …

D Szabó, J Szentandrássy, Z Juhász, K Katona… - Annals of clinical …, 2008 - Springer
D Szabó, J Szentandrássy, Z Juhász, K Katona, K Nagy, L Rókusz
Annals of clinical microbiology and antimicrobials, 2008Springer
Abstract Introduction Pseudomonas aeruginosa and Acinetobacter baumanii are important
nosocomial pathogens with wide intrinsic resistance. However, due to the dissemination of
the acquired resistance mechanisms, such as extended-spectrum beta-lactamase (ESBL)
and metallo beta-lactamase (MBL) production, multidrug resistant strains have been isolated
more often. Case presentation We report a case of a Hungarian tourist, who was initially
hospitalized in Egypt and later transferred to Hungary. On the day of admission PER-1 …
Introduction
Pseudomonas aeruginosa and Acinetobacter baumanii are important nosocomial pathogens with wide intrinsic resistance. However, due to the dissemination of the acquired resistance mechanisms, such as extended-spectrum beta-lactamase (ESBL) and metallo beta-lactamase (MBL) production, multidrug resistant strains have been isolated more often.
Case presentation
We report a case of a Hungarian tourist, who was initially hospitalized in Egypt and later transferred to Hungary. On the day of admission PER-1-producing P. aeruginosa, PER-1 producing A. baumannii, SHV-5-producing Klebsiella pneumoniae and VIM-2-producing P. aeruginosa isolates were subcultured from the patient's samples in Hungary. Comparing the pulsed-field gel electrophoresis (PFGE) patterns of the P. aeruginosa strains from the patient to the P. aeruginosa strains occurring in this hospital, we can state that the PER-1-producing P. aeruginosa and VIM-2-producing P. aeruginosa had external origin.
Conclusion
This is the first report of PER-1-producing P. aeruginosa,and PER-1-producing A. baumanii s trains in Hungary. This case highlights the importance of spreading of the beta-lactamase-mediated resistance mechanisms between countries and continents, showing the importance of careful screening and the isolation of patients arriving from a different country.
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