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AAC Accepts, published online ahead of print on 21 April 2008
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Antimicrob. Agents Chemother. doi:10.1128/AAC.00158-08
Copyright (c) 2008, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

Presence of plasmid-mediated quinolone resistance in Klebsiella pneumoniae possessing blaKPC in the United States

Andrea Endimiani*, Lenore L. Carias, Andrea M. Hujer, Christopher R. Bethel, Kristine M. Hujer, Federico Perez, Rebecca A. Hutton, William R. Fox, Geraldine S. Hall, Michael R. Jacobs, David L. Paterson, Louis B. Rice, Stephen G. Jenkins, Fred C. Tenover, and Robert A. Bonomo*

Research Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH 44106; Division of Infectious Diseases and HIV Medicine, University Hospital Case Medical Center, Cleveland, OH 44106; Cleveland Clinic Foundation, Cleveland, OH, 44195; Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106; University of Pittsburgh Medical Center, Pittsburgh, PA 15212; Mount Sinai Medical Center, New York, NY, 10029; Office of Antimicrobial Resistance, Centers for Disease Control and Prevention, Atlanta, GA, 30333; Department of Pharmacology, Case Western Reserve University School of Medicine, Cleveland, OH 44106

* To whom correspondence should be addressed. Email: aendimiani{at}tin.it. robert.bonomo{at}med.va.gov.


  Abstract

The presence of plasmid-mediated quinolone resistance genes (i.e., qnr-A, -B, -S, aac(6')-Ib-cr, and qepA) was evaluated among 42 blaKPC-containing Klebsiella pneumoniae isolates collected in the eastern United States. One isolate carried blaKPC-3 and qnrB19 genes on the same conjugative plasmid, whereas another carried blaKPC-3 and qnrA1 genes on separate plasmids.




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