Abstract
CTX-M- and AmpC-type β-lactamases comprise the two most rapidly growing populations among the extended-spectrum cephalosporinases. The evolution and dissemination of resistance genes encoding these enzymes occur mostly through the transmission of plasmids. The high prevalence of clinical isolates of Enterobacteriaceae producing the plasmid-mediated extended-spectrum cephalosporinases resembles an epidemic of plasmids, and has generated serious therapeutic problems. This review describes the emergence and worldwide spread of various classes of plasmid-mediated extended-spectrum cephalosporinases in Salmonella and other Enterobacteriaceae, the transfer mechanism of the plasmids, detection methods, and therapeutic choices.
| Original language | English |
|---|---|
| Pages (from-to) | 155-168 |
| Number of pages | 14 |
| Journal | FEMS Immunology and Medical Microbiology |
| Volume | 52 |
| Issue number | 2 |
| DOIs | |
| State | Published - 03 2008 |
| Externally published | Yes |
Keywords
- AmpC
- Antimicrobial resistance
- Enterobacteriaceae
- Extended-spectrum β-lactamase
- Plasmid
- Salmonella