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Antimicrob Agents Chemother. 1998 April; 42(4): 827–832.
PMCID: PMC105550
Cefotaxime-Resistant Enterobacteriaceae Isolates from a Hospital in Warsaw, Poland: Identification of a New CTX-M-3 Cefotaxime-Hydrolyzing β-Lactamase That Is Closely Related to the CTX-M-1/MEN-1 Enzyme
Marek Gniadkowski,1* Ines Schneider,2 Andrzej Pałucha,1 Renate Jungwirth,2 Barbara Mikiewicz,3 and Adolf Bauernfeind2
Sera and Vaccines Central Research Laboratory, 00-725 Warsaw,1 and Health Care Center Praga-Północ, 03-719 Warsaw,3 Poland, and Max von Pettenkofer-Institut, 80336 Munich, Germany2
*Corresponding author. Mailing address: Sera and Vaccines Central Research Laboratory, ul. Chelmska 30/34, 00-725 Warsaw, Poland. Phone: (48) 22 651 4670. Fax: (48) 22-41 29 49. E-mail: marekg/at/ibbrain.ibb.waw.pl.
Received July 14, 1997; Revisions requested November 12, 1997; Accepted February 2, 1998.
Abstract
A group of cefotaxime-resistant Citrobacter freundii and Escherichia coli isolates were collected by a clinical laboratory in a hospital in Warsaw, Poland, in July 1996. Detailed analysis has shown that all of these produced a β-lactamase (pI, 8.4) belonging to the CTX-M family, one of the minor extended-spectrum β-lactamase families with a strong cefotaxime-hydrolyzing activity. Sequencing has revealed that C. freundii isolates produced a new CTX-M-3 enzyme which is very closely related to the CTX-M-1/MEN-1 β-lactamase, sporadically identified in Europe over a period of 6 years. Amino acid sequences of these two β-lactamases differ at four positions: Val77Ala, Asp114Asn, Ser140Ala, and Asn288Asp (the first amino acid of each pair refers to CTX-M-1/MEN-1 and second refers to CTX-M-3). The partial sequence of the E. coli CTX-M gene was identical to the corresponding region of blaCTX-M-3, but a transconjugant of the E. coli isolate expressed higher levels of resistance to β-lactams than did C. freundii transconjugants. These resistance differences correlated with differences in plasmid DNA restriction patterns. Our results suggest that CTX-M genes have been spread among different species of the family Enterobacteriaceae in the hospital and that the CTX-M-3-expressing C. freundii strain causing routine urinary tract infections has been maintained for a relatively long time in the hospital environment.
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