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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 84(3)

Multicenter survey for carbapenemase-producing Enterobacterales in central Japan

https://doi.org/10.18999/nagjms.84.3.630
https://doi.org/10.18999/nagjms.84.3.630
1660ff6f-5732-496a-9a2a-ba20f2e7385b
名前 / ファイル ライセンス アクション
14_Hara.pdf 14_Hara.pdf (453 KB)
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Item type itemtype_ver1(1)
公開日 2022-09-05
タイトル
タイトル Multicenter survey for carbapenemase-producing Enterobacterales in central Japan
言語 en
著者 Hara, Yuki

× Hara, Yuki

en Hara, Yuki

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Iguchi, Mitsutaka

× Iguchi, Mitsutaka

en Iguchi, Mitsutaka

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Tetsuka, Nobuyuki

× Tetsuka, Nobuyuki

en Tetsuka, Nobuyuki

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Morioka, Hiroshi

× Morioka, Hiroshi

en Morioka, Hiroshi

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Hirabayashi, Aki

× Hirabayashi, Aki

en Hirabayashi, Aki

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Suzuki, Masato

× Suzuki, Masato

en Suzuki, Masato

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Tomita, Yuka

× Tomita, Yuka

en Tomita, Yuka

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Oka, Keisuke

× Oka, Keisuke

en Oka, Keisuke

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Yagi, Tetsuya

× Yagi, Tetsuya

en Yagi, Tetsuya

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報Resource http://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報 Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
キーワード
主題Scheme Other
主題 carbapenemase-producing Enterobacterales (CPE)
キーワード
主題Scheme Other
主題 carbapenem-resistant Enterobacterales(CRE)
キーワード
主題Scheme Other
主題 molecular epidemiology
キーワード
主題Scheme Other
主題 multicenter survey
内容記述
内容記述 Carbapenemase-producing Enterobacterales (CPE) raise concerns about the treatment options for infectious diseases and infection control. We conducted a multicenter study to clarify the molecular epidemiology of CPE in the Aichi Prefecture during the first 3-month period from 2015 to 2019. Carbapenemase production was screened using a modified carbapenem inactivation method, and the genotypes of the carbapenemase genes were determined by polymerase chain reaction sequencing. Genetic relatedness was analyzed using multilocus sequence typing (MLST). Twenty-four hospitals participated in this study. Of the 56,494 Enterobacterales strains detected during the study period, 341 (0.6%) that met the susceptibility criteria were analyzed. Sixty-five of the 341 strains were determined to be CPE, with an incidence rate of 0.12% (65/56,494). The bacterial species responsible for CPE were Klebsiella pneumoniae (n = 24), Enterobacter cloacae complex (n = 23), Klebsiella oxytoca (n = 10), and Escherichia coli (n = 8). Most of the carbapenemase genotypes were IMP-1 (58/65), and only three were IMP-6 types. Three E. coli strains that produced NDM-5 were detected. MLST analysis showed that Sequence type (ST) 78 was predominant in E. cloacae complex CPE (14/23, 60.9%). Meanwhile, various STs were detected in carbapenemaseproducing (CP) K. pneumoniae, of which ST37 and ST517 were the most common. The incidence rate of CPE in this region was comparable to national data. This 3-month surveillance revealed the spread of ST78 of CP E. cloacae complex and ST517 and ST592 of CP K. pneumoniae across hospitals, indicating the need to strengthen regional infection control programs.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.84.3.630
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/843.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 84, 号 3, p. 630-639, 発行日 2022-08
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