Sonnevend Á, Ghazawi A, Yahfoufi N, Al-Baloushi A, Hashmey R, Mathew M, Tariq WZ, Pál T. VIM-4 carbapenemase-producing Enterobacter cloacae in the United Arab Emirates.
Clin Microbiol Infect 2012;
18:E494-6. [PMID:
23078093 DOI:
10.1111/1469-0691.12051]
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Abstract
Screening 34 carbapenem non-susceptible Enterobacteriaceae recovered in Abu Dhabi hospitals identified an Enterobacter cloacae strain carrying bla(VIM-4) , bla(CMY-4) and bla(CTX-M-15) . It was isolated from the urine of an Egyptian patient repeatedly hospitalized and treated with broad-spectrum antibiotics, including carbapenems, in the United Arab Emirates. The bla(VIM-4) coding class I integron, highly similar to In416, was carried on a 175-kilobase non-conjugative incA/C type plasmid also hybridizing with the bla(CMY-4) probe. This is the first detailed report on the isolation of a Verona integron-encoded metallo-β-lactamase (VIM) -producing enteric bacterium in the Arabian Peninsula with characteristics suggestive of spreading from the Mediterranean region.
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