To investigate the antimicrobial resistance, extended-spectrum b-lactamases (ESBLs) and clones of Klebsiella pneumoniae isolates causing bacteraemia or urinary tract infection (UTI) in Korea, a total of 406 K. pneumoniae isolates from patients with bacteraemia (221 isolates) and UTI (185 isolates) were collected from 10 tertiary-care Korean hospitals from July 2006 to October 2007. In vitro antimicrobial susceptibility testing was performed for all isolates and ESBL production was tested. Multilocus sequence typing (MLST) analyses were performed to characterize genotypes of ESBL-producing K. pneumoniae isolates. PFGE was performed for sequence type 11 (ST11) isolates. Forty-seven UTI isolates (25.4 %) produced ESBLs, while 30 bacteraemia isolates (13.6 %) produced ESBLs (P50.002). Among 77 ESBL-producing isolates, thirty-two (41.6 %) produced SHV-type ESBLs. bla CTX-M genes such as bla CTX-M-14 and bla CTX-M-15 were detected Abbreviations: ConNUH, Chonnam National University Hospital; CubNUH, Chungbuk National University Hospital; CunNUH, Chungnam National University Hospital; DFH, Daegu Fatima Hospital; ESBL, extended-spectrum b-lactamase; GNUH, Gyeongsang National University Hospital; JNUH, Jeju National University Hospital; KNUH, Kyungpook National University Hospital; KSH, Kangbuk Samsung Hospital; KUH, Konkuk University Hospital; MLST, multilocus sequence typing; SMC, Samsung Medical Center; ST, sequence type; UTI, urinary tract infection.
Journal of Medical Microbiology(2010), 59, 822-828 DOI 10.1099