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Antimicrobial Agents and Chemotherapy, September 2004, p. 3402-3406, Vol. 48, No. 9
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.9.3402-3406.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Medical Microbiology, Pathology, Faculty of Health Sciences, University of Pretoria, and National Health Laboratory Service, Pretoria, South Africa
Received 12 January 2004/ Returned for modification 4 April 2004/ Accepted 2 May 2004
Extended-spectrum ß-lactamases (ESBLs) in Pseudomonas aeruginosa, such as GES-2, which compromises the efficacy of imipenem, tend to be geographically restricted. The CC-to-AA base pair substitution at positions 493 and 494 of the blaGES-2-coding region distinguishes this ESBL from blaGES-1 and the blaIBC-type genes, making it an ideal target for the development of a novel sequence-specific, peptide nucleic acid (PNA)-based multiplex PCR detection method. By using two primer pairs in conjunction with a PNA probe, this method provided an accurate means of identification of blaGES-2 compared to standard PCR and gene sequencing techniques when it was used to test 100 P. aeruginosa clinical isolates as well as previously published, well-described control strains encompassing all presently known genes in the blaGES-IBC ESBL family. This novel method has the potential to be used in large-scale, cost-effective screening programs for specific or geographically restricted ESBLs.
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