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. 2009 Mar;53(3):1268-70.
doi: 10.1128/AAC.01300-08. Epub 2008 Dec 22.

Changes in aac(6')-Ib-cr prevalence and fluoroquinolone resistance in nosocomial isolates of Escherichia coli collected from 1991 through 2005

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Changes in aac(6')-Ib-cr prevalence and fluoroquinolone resistance in nosocomial isolates of Escherichia coli collected from 1991 through 2005

Gabriela Warburg et al. Antimicrob Agents Chemother. 2009 Mar.

Abstract

Clinical isolates of Escherichia coli collected from 1991 through 2005 at a tertiary-care center were studied for qnr and aac(6')-Ib-cr genes. Isolates bearing aac(6')-Ib-cr emerged in 1998, coinciding with an increase in ciprofloxacin resistance. The presence of aac(6')-Ib-cr was multiclonal and was associated with the presence of extended-spectrum beta-lactamases.

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Figures

FIG. 1.
FIG. 1.
Polyacrylamide gel analysis of gap-LCR assay. Lane 1, low-molecular-weight DNA ladder (New England Biolabs, Beverly, MA); lane 2, pBAD24-aac(6)-Ib-cr; lane 3, pBAD24-aac(6)-Ib; lane 4, aac(6)-Ib-cr-negative E. coli; lane 5, aac(6)-Ib-cr-positive E. coli. Arrow points to the putative reaction product.
FIG. 2.
FIG. 2.
Percentage of clinical E. coli isolates (n = 718) harboring resistance to ciprofloxacin (MIC ≥ 2 μg/ml) and harboring aac(6)-Ib-cr. No aac(6)-Ib-cr genes were found before 1998.
FIG. 3.
FIG. 3.
PFGE of 10 E. coli isolates from 2004 and E. coli KL-16 (serving as the control strain) after restriction with XbaI. Lane 1, phage lambda ladder (size marks in Kb); lanes 2 and 12, E. coli KL-16; lanes 3 to 11, E. coli isolates from 2004 (in lane 4, one of the five PFGE-identical isolates).

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