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Antimicrobial Agents and Chemotherapy, August 2005, p. 3562-3565, Vol. 49, No. 8
0066-4804/05/$08.00+0     doi:10.1128/AAC.49.8.3562-3565.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

In Vivo Transfer of Plasmid-Encoded ACC-1 AmpC from Klebsiella pneumoniae to Escherichia coli in an Infant and Selection of Impermeability to Imipenem in K. pneumoniae

Philippe Bidet,1 Béatrice Burghoffer,2 Valérie Gautier,2 Naïma Brahimi,1 Patricia Mariani-Kurkdjian,1 Alaa El-Ghoneimi,3 Edouard Bingen,1* and Guillaume Arlet2

Laboratoire d'Études de Génétique Bactérienne dans les Infections de l'Enfant (EA 3105), Université Denis Diderot-Paris VII, Service de Microbiologie,1 Service de Chirurgie viscérale, Hôpital Robert Debré,3 Laboratoire de Bactériologie, UPRES EA 2392, UFR Saint-Antoine, Université Paris VI, Paris, France2

Received 22 February 2005/ Returned for modification 24 March 2005/ Accepted 30 May 2005

We describe in vivo selection of a Klebsiella pneumoniae strain with diminished imipenem susceptibility attributable to plasmid-encoded ACC-1 ß-lactamase production and loss of a 36-kDa major outer membrane protein, together with transfer of this plasmid from K. pneumoniae to Escherichia coli in a Tunisian infant.

* Corresponding author. Mailing address: Service de Microbiologie, Hôpital Robert Debré, 48 Bd Sérurier, 75395 Paris cedex 19, France. Phone: 33 1 40 03 23 40. Fax: 33 1 40 03 24 50. E-mail: edouard.bingen{at}rdb.ap-hop-paris.fr.

Antimicrobial Agents and Chemotherapy, August 2005, p. 3562-3565, Vol. 49, No. 8
0066-4804/05/$08.00+0     doi:10.1128/AAC.49.8.3562-3565.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



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