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Antimicrobial Agents and Chemotherapy, May 2008, p. 1843-1845, Vol. 52, No. 5
0066-4804/08/$08.00+0 doi:10.1128/AAC.01477-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

JMI Laboratories, North Liberty, Iowa,1 Achaogen, Inc., South San Francisco, California,2 Tufts University School of Medicine, Boston, Massachusetts3
Received 14 November 2007/ Returned for modification 21 December 2007/ Accepted 25 February 2008
The alteration of ribosomal targets by recently described 16S rRNA methyltransferases confers resistance to most aminoglycosides, including arbekacin. Enterobacteriaceae and nonfermentative bacilli acquired through global surveillance programs were screened for the presence of these enzymes on the basis of phenotypes that were resistant to nine tested aminoglycosides. Subsequent molecular studies determined that 20 of 21 (95.2%) methyltransferase-positive isolates consisted of novel species records or geographic occurrences (North America [armA and rmtB], Latin America [rmtD], and Europe [armA]; rmtA, rmtC, and npmA were not detected). The global emergence of high-level aminoglycoside resistance has become a rapidly changing event requiring careful monitoring.
Published ahead of print on 17 March 2008.
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