Skip to main content

Advertisement

Log in

Occurrence of antimicrobial resistance genes sul and dfrA12 in hospital environmental isolates of Elizabethkingia meningoseptica

  • Original Paper
  • Published:
World Journal of Microbiology and Biotechnology Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate the prevalence, antimicrobial susceptibility and resistant determinants of Elizabethkingia meningoseptica in a Beijing hospital. Four hundred and eighty-seven samples from medical devices, hospital surfaces and medical staff hands were collected. In total, 26 E. meningoseptica isolates were obtained. The sinks, faucets, and drains accounted for more than half of the total number of isolates recovered. Antimicrobial susceptibility testing revealed that 24 isolates were resistant to one or more antibiotics. All strains were susceptible to piperacillin/tazobactam and vancomycin. Although the trimethoprim/sulfamethoxazole has previously been shown to exhibit good activity against E. meningoseptica, in our study 15 strains were resistant to it. We detected trimethoprim/sulfamethoxazole resistance determinants using PCR; six isolates possessed the sulI gene and four possessed the sulII gene, whilst the dfrA12 gene was detected in only one of them. Pulsed-field gel electrophoresis (PFGE) analysis showed 9 distinct types and one dominant pattern with 12 strains was found. Our data indicate that antimicrobial resistant E. meningoseptica strains exist in the hospital environment and susceptibility testing revealed that vancomycin and piperacillin/tazobactam was the most effective antibiotics. These results have practical significance for treatment of E. meningoseptica infection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Bernardet JF, Vancanneyt M, Matte-Tailliez O, Grisez L, Tailliez P, Bizet C, Nowakowski M, Kerouault B, Swings J (2005) Polyphasic study of Chryseobacterium strains isolated from diseased aquatic animals. Syst Appl Microbiol 28:640–660

    Article  CAS  Google Scholar 

  • Ceyhan M, Yildirim I, Tekeli A, Yurdakok M, Us E, Altun B, Kutluk T, Cengiz AB, Gurbuz V, Barin C, Bagdat A, Cetinkaya D, Gur D, Tuncel O (2008) A C. meningosepticum outbreak observed in 3 clusters involving both neonatal and nonneonatal pediatric patients. Am J Infect Control 36:453–457

    Article  Google Scholar 

  • Chen S, Zhao S, White DG, Schroeder CM, Lu R, Yang H, McDermott PF, Ayers S, Meng J (2004) Characterization of multiple-antimicrobial-resistant salmonella serovars isolated from retail meats. Appl Environ Microbiol 70:1–7

    Article  CAS  Google Scholar 

  • Dancer SJ (1999) Mopping up hospital infection. J Hosp Infect 43:85–100

    Article  CAS  Google Scholar 

  • Di Pentima MC, Mason EO, Kaplan SL (1998) In vitro antibiotic synergy against F. meningosepticum: implications for therapeutic options. Clin Infect Dis 26:1169–1176

    Article  Google Scholar 

  • Du Moulin GC (1979) Airway colonization by Flavobacterium in an intensive care unit. J Clin Microbiol 10:155–160

    Google Scholar 

  • Enne VI, Livermore DM, Stephens P, Hall LMC (2001) Persistence of sulphonamide resistance in Escherichia coli in the UK despite national prescribing restriction. Lancet 357:1325–1328

    Article  CAS  Google Scholar 

  • Fraser SL, Jorgensen JH (1997) Reappraisal of the antimicrobial susceptibilities of Chryseobacterium and Flavobacterium species and methods for reliable susceptibility testing. Antimicrob Agents Chemother 41:2738–2741

    CAS  Google Scholar 

  • Hoque SN, Graham J, Kaufmann ME, Tabaqchali S (2001) Chryseobacterium (Flavobacterium) meningosepticum outbreak associated with colonization of water taps in a neonatal intensive care unit. J Hosp Infect 47:188–192

    Article  CAS  Google Scholar 

  • Hung PP, Lin YH, Lin CF, Liu MF, Shi ZY (2008) Chryseobacterium meningosepticum infection: antibiotic susceptibility and risk factors for mortality. J Microbiol Immunol Infect 41:137–144

    Google Scholar 

  • Huovinen P, Sundström L, Swedberg G, Sköld O (1995) Trimethoprim and sulfonamide resistance. Antimicrob Agents Chemother 39:279–289

    Article  CAS  Google Scholar 

  • Jia HL, Qin JL (2002) Analysis of nosocomial infection by Flavobacterium. Chin J Nosocomiol 12:75–76 in Chinese

    Google Scholar 

  • Kim KK, Kim MK, Lim JH, Park HY, Lee S (2005) Transfer of C. meningosepticum and Chryseobacterium miricola to Elizabethkingia gen. nov. as E. meningoseptica comb. nov. and Elizabethkingia miricola comb. nov. Int J Syst Evol Microbiol 55:1287–1293

    Article  CAS  Google Scholar 

  • Kirby JT, Sader HS, Walsh TR, Jones RN (2004) Antimicrobial susceptibility and epidemiology of a worldwide collection of Chryseobacterium spp.: report from the SENTRY antimicrobial surveillance program (1997–2001). J Clin Microbiol 42:445–448

    Article  CAS  Google Scholar 

  • Lin P, Chu C, Su L, Huang C, Chang W, Chiu C (2004) Clinical and microbiological analysis of bloodstream infections caused by C. meningosepticum in nonneonatal patients. J Clin Microbiol 42:3353–3355

    Article  Google Scholar 

  • Lin Y, Chiu C, Chan Y, Lin M, Yu K, Wang F, Liu C (2009) Clinical and microbiological analysis of E. meningoseptica bacteremia in adult patients in Taiwan. Scand J Infect Dis 41:628–634

    Article  CAS  Google Scholar 

  • Moreno C, Romero J, Espejo RT (2002) Polymorphism in repeated 16S rRNA genes is a common property of type strains and environmental isolates of the genus Vibrio. Microbiology 148:1233–1239

    CAS  Google Scholar 

  • Pokrywka M, Viazanko K, Medvick J (1993) A F. meningosepticum outbreak among intensive care patients. Am J Infect Control 21:139–145

    Article  CAS  Google Scholar 

  • Srinivasan V, Nam H, Sawant AA, Headrick SI, Nguyen LT, Oliver SP (2008) Distribution of tetracycline and streptomycin resistance genes and class 1 integrons in Enterobacteriaceae isolated from dairy and nondairy farm soils. Microb Ecol 55:184–193

    Article  CAS  Google Scholar 

  • Wang Q, Guo Y, Deng XY, Chu YZ (2005) Clinical distribution and resistance of 41 strains of F. meningosepticum. China J Mod Med 15:873–874 (in Chinese)

    Google Scholar 

  • Weaver KN, Jones RC, Albright R, Thomas Y, Zambrano CH, Costello M, Havel J, Price J, Gerber SI (2010) Acute emergence of E. meningoseptica infection among mechanically ventilated patients in a long-term acute care facility. Infect Control Hosp Epidemiol 31:54–58

    Article  Google Scholar 

  • Xie Z, Zhou Y, Wang S, Mei B, Xu X, Wen W, Feng Y (2009) First isolation and identification of E. meningoseptica from cultured tiger frog, Rana tigerina rugulosa. Vet Microbiol 138:140–144

    Article  CAS  Google Scholar 

  • Yang HW, Yang JH, Yu LL (2008) Prevalence and drug resistance of nosocomial infection by C. meningosepticum. J Pract Med 24:3960–3961 (in Chinese)

    Google Scholar 

  • Yaqoob M, Wang LP, Fang T, Lu CP (2011) Occurrence and transmission of class 1 and 2 integrons among phenotypic highly ampicillin-resistant avian E. coli isolates from Pakistan. World J Microbiol Biotechnol 27:2041–2050

    Article  CAS  Google Scholar 

  • Zhang L (2008) Analysis of drug resistance of C. meningosepticum from neurosurgery ICU patients. Chin J Med Lab Technol 9:261–262 (in Chinese)

    CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by the Major State Basic Research Development Program of China (973 Program) (no. 2010CB35704; 2012CB723705), Guangzhou technological planning projects (11C12080718), the Fundamental Research Funds for the Central Universities, SCUT (2012ZZ0083), and the Food Safety Key Lab of Liaoning Province Open Project Funding (LNSAKF2011002).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lijun Zhou.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jiang, X., Wang, D., Wang, Y. et al. Occurrence of antimicrobial resistance genes sul and dfrA12 in hospital environmental isolates of Elizabethkingia meningoseptica . World J Microbiol Biotechnol 28, 3097–3102 (2012). https://doi.org/10.1007/s11274-012-1119-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11274-012-1119-x

Keywords

Navigation