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Antimicrobial Agents and Chemotherapy, May 1999, p. 1294-1297, Vol. 43, No. 5
The Department of Laboratory Medicine,
Division of Clinical Microbiology, Karolinska Institute and
Karolinska Hospital, 171 76 Stockholm, Sweden,1
and Laboratory of Microbiology, The Rockefeller University,
New York, New York 100212
Received 13 August 1998/Returned for modification 29 January
1999/Accepted 10 February 1999
Two
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Genetic Characterization of Resistance to Extended-Spectrum
-Lactams in Klebsiella oxytoca Isolates Recovered
from Patients with Septicemia at Hospitals in the Stockholm
Area
-lactamase gene regions were characterized by DNA sequencing
in eight clinical isolates of Klebsiella oxytoca. The
blaOXY-2a region encoded a
-lactamase nearly
identical to OXY-2 (one amino acid residue substituted) and
conferred aztreonam and cefuroxime resistance on the K. oxytoca isolates. Overproduction of OXY-2a was caused by a G-to-A
substitution of the fifth nucleotide in the
10 consensus sequence of
blaOXY-2a. The
blaOXY-1a was identified in a susceptible
strain, and the OXY-1a enzyme differed from OXY-1 by two amino acid residues.
*
Corresponding author. Mailing address: Box 152, The
Rockefeller University, 1230 York Ave., New York, NY 10021. Phone:
(212) 327-8278. Fax: (212) 327-8688. E-mail:
wus{at}rockvax.rockefeller.edu.
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