National survey of colistin resistance among carbapenemase-producing Enterobacteriaceae and outbreak caused by colistin-resistant OXA-48-producing Klebsiella pneumoniae, France, 2014
Author(s)
Jayol, A
Poirel, L
Dortet, L
Nordmann, P
Type
Journal Article
Abstract
From January 2014 to December 2014, 972 consecutive non-replicate carbapenemase-producing Enterobacteriaceae isolates from colonised or infected patients were collected at the Associated French National Reference Centre as part of the French national survey on antimicrobial resistance. It included 577 Klebsiella spp. (59%), 236 Escherichia coli (24%), 108 Enterobacter spp. (11%), 50 Citrobacter spp. (5%), and a single Salmonella spp. isolate (0.1%). Of 561 K. pneumoniae isolates, 35 were found to be resistant to colistin (6.2%). PFGE analysis revealed a clonal outbreak involving 15 K. pneumoniae isolates belonging to sequence type ST11, recovered in a single hospital in the Picardie region in northern France. Those clonally related isolates showed variable levels of resistance to colistin, ranging from 4 to 64 mg/L. They harboured the blaOXA-48 carbapenemase gene and the blaCTX-M-15 extended-spectrum beta-lactamase gene. Among the 91 Enterobacter cloacae isolates, seven were resistant to colistin and produced different types of carbapenemases. Surprisingly, none of the E. coli and Citrobacter spp. isolates showed resistance to colistin. This national survey including carbapenemase-producing isolates recovered in 2014 reported a high rate of colistin resistance in K. pneumoniae and E. cloacae (6.2% and 7.7%, respectively) in France.
Date Issued
2016-09-15
Date Acceptance
2016-04-04
Citation
Eurosurveillance, 2016, 21 (37)
ISSN
1560-7917
Publisher
European Centre for Disease Prevention and Control
Journal / Book Title
Eurosurveillance
Volume
21
Issue
37
Copyright Statement
This is an open-access article distributed under the terms of
the Creative Commons Attribution (CC BY 4.0) Licence.
the Creative Commons Attribution (CC BY 4.0) Licence.
License URL
Subjects
Enterobacter cloacae
Klebsiella pneumoniae
colistin
outbreak
polymyxins
resistance
Publication Status
Published
Article Number
3