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KMID : 1101320130450020043
Korean Journal of Clinical Laboratory Science
2013 Volume.45 No. 2 p.43 ~ p.47
Spread of CTX-M Extended-spectrum ¥â-lactamase Producing Escherichia coli in the Community in Chungcheong Area, Korea
Sung Ji-Youn

Oh Ji-Eun
Kim Eun-Sun
Son Ja-Min
Kim Hye-Yeon
Lim Da-Young
Abstract
This study was designed to evaluate the prevalence of ESBL genes and monitor antimicrobial resistance pattern in Escherichia coli , isolated from a hospital and a community. We tested 200 E. coli strains isolated in the hospitals and community in Chungcheong area from January to March 2012. Antimicrobial susceptibilities were tested by using the disk diffusion method. A search for ESBL genes was conducted by PCR amplification, and the genotypes were determined by direct nucleotide sequence analysis of the amplified products. An Epidemiologic study was performed by repetitive extragenic palindromic sequence-based PCR (REP-PCR). The percentage of ESBLproducing isolates was 17% for hospital associated E. coli and 11% for community associated E. coli. The ESBL gene sequencing results showed that the most common ESBL in E. coli was CTX-M-14 (19/28), followed by CTX-M-15 (9/28). The REP-PCR study also showed the genetic diversity, but there was no difference between the hospital and community associated E. coli. In this study, the most common types of class A ESBLs identified were CTX-M in the hospital and the community in Chungcheong area. ESBL-producing E. coli isolates showed diverse clonality.
KEYWORD
ESBL, Escherichia coli, CTX-M, community, REP-PCR
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