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Mechanisms of Resistance

Spread of NDM-1-Producing Enterobacteriaceae in a Neonatal Intensive Care Unit in Istanbul, Turkey

Laurent Poirel, Mesut Yilmaz, Ayse Istanbullu, Ferhat Arslan, Ali Mert, Sandrine Bernabeu, Patrice Nordmann
Laurent Poirel
aMedical and Molecular Microbiology Unit, Department of Medicine, Faculty of Science, University of Fribourg, Fribourg, Switzerland
bINSERM U914, South-Paris Medical School, Le Kremlin-Bicêtre, France
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Mesut Yilmaz
cInfectious Diseases and Clinical Microbiology Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
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Ayse Istanbullu
dMedical Microbiology Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
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Ferhat Arslan
cInfectious Diseases and Clinical Microbiology Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
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Ali Mert
cInfectious Diseases and Clinical Microbiology Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
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Sandrine Bernabeu
bINSERM U914, South-Paris Medical School, Le Kremlin-Bicêtre, France
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Patrice Nordmann
aMedical and Molecular Microbiology Unit, Department of Medicine, Faculty of Science, University of Fribourg, Fribourg, Switzerland
bINSERM U914, South-Paris Medical School, Le Kremlin-Bicêtre, France
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DOI: 10.1128/AAC.02047-13
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ABSTRACT

Twenty-two consecutive carbapenem-resistant enterobacterial isolates were recovered from patients hospitalized between January and April 2013 in different units at a university hospital in Istanbul, Turkey. These were Klebsiella pneumoniae isolates producing the carbapenemases OXA-48, NDM-1, and KPC-2, Enterobacter cloacae isolates producing NDM-1, and Escherichia coli isolates producing OXA-48. Most of the OXA-48-producing K. pneumoniae and all the NDM-1-producing E. cloacae were clonally related. The NDM-1-producing E. cloacae isolates recovered from a single neonatal intensive care unit corresponded to a single cluster, highlighting the spread of that clone in that setting.

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Spread of NDM-1-Producing Enterobacteriaceae in a Neonatal Intensive Care Unit in Istanbul, Turkey
Laurent Poirel, Mesut Yilmaz, Ayse Istanbullu, Ferhat Arslan, Ali Mert, Sandrine Bernabeu, Patrice Nordmann
Antimicrobial Agents and Chemotherapy Apr 2014, 58 (5) 2929-2933; DOI: 10.1128/AAC.02047-13

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Spread of NDM-1-Producing Enterobacteriaceae in a Neonatal Intensive Care Unit in Istanbul, Turkey
Laurent Poirel, Mesut Yilmaz, Ayse Istanbullu, Ferhat Arslan, Ali Mert, Sandrine Bernabeu, Patrice Nordmann
Antimicrobial Agents and Chemotherapy Apr 2014, 58 (5) 2929-2933; DOI: 10.1128/AAC.02047-13
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