Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates

Introduction: Plasmid-mediated class C ß-lactamase (pAmpC) is a member of broad-spectrum ß-lactamase that spreads worldwide. However, its prevalence was under-evaluated. Objective: To characterize the prevalence and distribution of pAmpC types in 294 cefoxitin (FOX) and third-generation cephalospor...

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Main Authors: Chuong Van Le, Nguyen Nhat Tran, Phuong Thi Be Nguyen, Nga Thi Le, Duong Thuy Le
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas - ECIMED 2024-05-01
Series:Revista Cubana de Medicina Militar
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Online Access:https://revmedmilitar.sld.cu/index.php/mil/article/view/38119
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author Chuong Van Le
Nguyen Nhat Tran
Phuong Thi Be Nguyen
Nga Thi Le
Duong Thuy Le
author_facet Chuong Van Le
Nguyen Nhat Tran
Phuong Thi Be Nguyen
Nga Thi Le
Duong Thuy Le
author_sort Chuong Van Le
collection DOAJ
description Introduction: Plasmid-mediated class C ß-lactamase (pAmpC) is a member of broad-spectrum ß-lactamase that spreads worldwide. However, its prevalence was under-evaluated. Objective: To characterize the prevalence and distribution of pAmpC types in 294 cefoxitin (FOX) and third-generation cephalosporin (3GC) resistant Enterobacteriaceae collected in several regions of Thailand and Vietnam in 2018 and 2020. Methods: Multiplex Polymerase Chain Reaction (PCR) for pAmpC identification was utilized to investigate prevalence and diversification of pAmpC among 294 cefoxitin and third-generation cephalosporin resistant Enterobacteriaceae isolated from Thailand (n= 197) and Vietnam (n= 97). Results: The prevalence of pAmpC was 37.1 % found in second and third-generation cephalosporin resistant Enterobacteriaceae. CMY-2 like was prominent in Thailand and Vietnam; however, prevalence of CMY-2 was varied in each hospital. DHA contributed 25.7 %, ACT/MIR rate was dominant in Chiang Rai hospital, reached 100 % in Thanh Hoa Pediatrics hospital. Worrisome, 3.7 % - isolates carried two types of pAmpC. The incidence of pAmpC in Vietnam was significantly higher than those in Thailand. Conclusions: These findings provide evidence-based of highly spreading and diversified distribution of transferable AmpC among Enterobacteriaceae in two Asia-Pacific countries.
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spelling doaj-art-e139be4eead249e6a20f6e269e0a00442025-08-20T03:25:11ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30462024-05-01532980Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolatesChuong Van Le0https://orcid.org/0000-0002-7648-5716Nguyen Nhat Tran1https://orcid.org/0000-0002-5914-6659Phuong Thi Be Nguyen2https://orcid.org/0009-0002-7455-8886Nga Thi Le3https://orcid.org/0009-0005-2584-2073Duong Thuy Le4https://orcid.org/0009-0007-2066-7733University of Medicine and Pharmacy at Ho Chi Minh City. Ho Chi Minh City, VietnamUniversity of Medicine and Pharmacy at Ho Chi Minh City. Ho Chi Minh City, VietnamUniversity of Medicine and Pharmacy at Ho Chi Minh City. Ho Chi Minh City, VietnamInstitute of Public Health, Ho Chi Minh City, Viet NamMilitary Hospital 175, Ho Chi Minh City, VietnamIntroduction: Plasmid-mediated class C ß-lactamase (pAmpC) is a member of broad-spectrum ß-lactamase that spreads worldwide. However, its prevalence was under-evaluated. Objective: To characterize the prevalence and distribution of pAmpC types in 294 cefoxitin (FOX) and third-generation cephalosporin (3GC) resistant Enterobacteriaceae collected in several regions of Thailand and Vietnam in 2018 and 2020. Methods: Multiplex Polymerase Chain Reaction (PCR) for pAmpC identification was utilized to investigate prevalence and diversification of pAmpC among 294 cefoxitin and third-generation cephalosporin resistant Enterobacteriaceae isolated from Thailand (n= 197) and Vietnam (n= 97). Results: The prevalence of pAmpC was 37.1 % found in second and third-generation cephalosporin resistant Enterobacteriaceae. CMY-2 like was prominent in Thailand and Vietnam; however, prevalence of CMY-2 was varied in each hospital. DHA contributed 25.7 %, ACT/MIR rate was dominant in Chiang Rai hospital, reached 100 % in Thanh Hoa Pediatrics hospital. Worrisome, 3.7 % - isolates carried two types of pAmpC. The incidence of pAmpC in Vietnam was significantly higher than those in Thailand. Conclusions: These findings provide evidence-based of highly spreading and diversified distribution of transferable AmpC among Enterobacteriaceae in two Asia-Pacific countries. https://revmedmilitar.sld.cu/index.php/mil/article/view/38119beta-Lactamasescephalosporin resistanceenterobacteriaceaegenetic epidemiology.
spellingShingle Chuong Van Le
Nguyen Nhat Tran
Phuong Thi Be Nguyen
Nga Thi Le
Duong Thuy Le
Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates
Revista Cubana de Medicina Militar
beta-Lactamases
cephalosporin resistance
enterobacteriaceae
genetic epidemiology.
title Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates
title_full Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates
title_fullStr Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates
title_full_unstemmed Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates
title_short Genetic epidemiology of Plasmid Mediated Class C Beta-Lactamase among Enterobacteriaceae isolates
title_sort genetic epidemiology of plasmid mediated class c beta lactamase among enterobacteriaceae isolates
topic beta-Lactamases
cephalosporin resistance
enterobacteriaceae
genetic epidemiology.
url https://revmedmilitar.sld.cu/index.php/mil/article/view/38119
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