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Volume 18, Number 6—June 2012
Letter

ESBL-Positive Enterobacteria Isolates in Drinking Water

Hilde De BoeckComments to Author , Berthe Miwanda, Octavie Lunguya-Metila, Jean-Jacques Muyembe-Tamfum, Ellen Stobberingh, Youri Glupczynski, and Jan Jacobs
Author affiliations: Institute of Tropical Medicine, Antwerp, Belgium (H. De Boeck, J. Jacobs); Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo (B. Miwanda, O. Lunguya-Metila, J.J. Muyembe-Tamfum); Maastricht University Medical Center, Maastricht, the Netherlands (E. Stobberingh); Cliniques Universitaires Université Catholique de Louvain de Mont-Godinne, Yvoir, Belgium (Y. Glupczynski)

Main Article

Table

ESBL-producing Enterobacteriaceae recovered from sachet-packaged water bags in Kinshasa, Democratic Republic of the Congo*

Isolate no. Species Microarray CT101 result Associated resistance†
 Folate PI
Aminoglycosides Fluoroquinolones
44 Citrobacter freundii CTX-M1 group AMK, GEN, TOB CIP, LEV, MXF, NXN T/S
48 Citrobacter freundii CTX-M1 group AMK, GEN, TOB CIP, LEV, MXF, NXN T/S
152 Enterobacter cloacae SHV G238S (SHV-2 like) NA NA T/S
154 Klebsiella pneumoniae CTX-M1 group GEN, TOB CIP, MXF T/S
163 Citrobacter freundii CTX-M1 group NA MXF T/S
165 Klebsiella pneumoniae CTX-M1 group GEN, TOB NA T/S
170 Klebsiella pneumoniae SHV G238A+E240K(SHV-18) GEN, TOB MXF NA
171 Escherichia coli SHV G238A+E240K(SHV-18) GEN, TOB NA NA

*ESBL, extended-spectrum β-lactamase; PI, pathway inhibitors; AMK, amikacin; GEN, gentamicin; TOB, tobramycin; CIP, ciprofloxacin; LEV, levofloxacin; MXF, moxifloxacin; NXN, norfloxacin; T/S, trimethoprim/sulfamethoxazole; NA, not applicable.
†Based on interpretive breakpoints as indicated in Clinical and Laboratory Standards Institute guidelines M100-S18, published January 2008.

Main Article

Page created: May 11, 2012
Page updated: May 11, 2012
Page reviewed: May 11, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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