[Current data and trends about the resistance of Gram-negative pathogens to beta-lactams]

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Nov;55(11-12):1405-9. doi: 10.1007/s00103-012-1558-4.
[Article in German]

Abstract

In recent years the resistance of Gram-negative pathogens to beta-lactam antibiotics, such as cephalosporins and carbapenems has increased. The resistant strains produce different beta-lactam hydrolysing enzymes (beta-lactamases). In particular extended spectrum beta-lactamases (ESBL) are prevalent in Escherichia coli and Klebsiella pneumoniae. The ESBL genes are located on different plasmids facilitating the transfer of resistance within a species and between different Gram-negative species. Within the scope of various studies the Robert Koch Institute in Wernigerode investigated ESBL-producing human Enterobacteriaceae using molecular methods. The results showed that distinct ESBL types, such as the CTX-M enzymes are dominant in Germany whereby CTX-M-15 and CTX-M-1 are the most prevalent variants in E. coli and K. pneumoniae. The aim of ongoing investigations within the RESET network project is to investigate the dissemination pathways of ESBL-producing bacteria in different settings (e.g. in humans, animals and food).

MeSH terms

  • Cephalosporins / therapeutic use
  • Cross-Sectional Studies
  • Drug Resistance, Multiple, Bacterial / genetics
  • Escherichia coli / classification
  • Escherichia coli / drug effects
  • Escherichia coli / genetics
  • Escherichia coli Infections / drug therapy
  • Escherichia coli Infections / epidemiology
  • Escherichia coli Infections / microbiology
  • Europe
  • Germany
  • Gram-Negative Bacterial Infections / drug therapy*
  • Gram-Negative Bacterial Infections / epidemiology
  • Gram-Negative Bacterial Infections / microbiology*
  • Humans
  • Klebsiella Infections / drug therapy
  • Klebsiella Infections / epidemiology
  • Klebsiella Infections / microbiology
  • Klebsiella pneumoniae / classification
  • Klebsiella pneumoniae / drug effects
  • Microbial Sensitivity Tests
  • Population Surveillance
  • Serotyping
  • beta-Lactam Resistance*
  • beta-Lactamases / genetics
  • beta-Lactamases / metabolism
  • beta-Lactams / therapeutic use*

Substances

  • Cephalosporins
  • beta-Lactams
  • beta-lactamase CTX-M-15
  • beta-lactamase TEM-3
  • beta-Lactamases