Title
Extended-spectrum beta-lactamaseproducing enterobacterales carrying the mcr-1 gene in Lima, Peru
Other title
Enterobacterales productores de betalactamasas de espectro extendido portadores del gen mcr-1 en Lima, Perú
Date Issued
01 October 2020
Access level
open access
Resource Type
journal article
Publisher(s)
Instituto Nacional de Salud
Abstract
We analyzed the presence of the mcr-1 gene in 165 extended-spectrum beta-lactamase-producing enterobacterales (ESBL-PE) obtained during 2017, from blood (40), urine (57), lower respiratory secretions (12) and rectal swabs (56) of patients hospitalized in the Instituto Nacional de Enfermedades Neoplásicas (Peru). Antimicrobial identification and susceptibility were determined by the Phoenix M50 automated system; colistin resistance by Colistin Agar-Spot (CAS); mrc-1 detection by colistin pre-diffusion and inhibition with EDTA test (CPD-E) and by polymerase chain reaction (PCR). We found that from the 165 ESBL-PE, 25 were positive for mcr-1 by the CPD-E method and confirmed by PCR. Colistin resistance was found in 20/165 by using the CAS method. Additionally, they showed resistance to fluoroquinolones and gentamicin, while remaining sensitive to amikacin; two isolates presented metallo-carbapenemases. Obtaining data on resistance to last-line antimicrobials (colistin) is crucial to establish measures for its control.
Start page
711
End page
715
Volume
37
Issue
4
Language
English
OCDE Knowledge area
Biología celular, Microbiología Farmacología, Farmacia
Scopus EID
2-s2.0-85100870790
PubMed ID
Source
Revista Peruana de Medicina Experimental y Salud Publica
ISSN of the container
17264634
Sources of information: Directorio de Producción Científica Scopus