Background: Nowadays, emergence of Carbapenemase-Producing Enterobacterales (CPE) throughout the world has become a public health problem, especially in countries with limited resources. In recent years, CPE of type O...Background: Nowadays, emergence of Carbapenemase-Producing Enterobacterales (CPE) throughout the world has become a public health problem, especially in countries with limited resources. In recent years, CPE of type OXA-48 (Ambler class D) have been identified in Dakar. The aim of this study was to evaluate the phenotypic detection of OXA-48 CPE using a temocillin disc (30 μg). Methodology: A retrospective study was carried out at Medical Biology Laboratory of Pasteur Institute in Dakar on Ertapenem-Resistant Enterobacterales (ERE) strains isolated from 2015 to 2017. These strains were then tested with a 30 μg temocillin disc. Any strain resistant to temocillin (inhibition diameter Results: Forty-one ERE isolated during the study period were tested, of which 34 (82.9%) were OXA-48 based on phenotypic detection using temocillin disc and confirmed by PCR (100%). OXA-48 CPE strains detected were composed of Klebsiella pneumoniae (n = 14;41.2%), Enterobacter cloacae (n = 8;23.5%), Escherichia coli (n = 7, 20.5%), Citrobacter freundii (n = 3;8.8%), Cronobacter sakazakii (n = 1;3%) and Morganella morganii (n = 1;3%). Conclusion: Temocillin resistance has a good positive predictive value for detecting OXA-48 CPE by phenotypic method, confirmed by PCR. Temocillin is therefore a good marker for detection of OXA-48 CPE except Hafnia alvei.展开更多
采用正硅酸乙酯(TEOS)作硅源,十六烷基三甲基溴化铵(CTAB)为模板剂,在高压(约7 MPa)和373 K下合成了MCM-48介孔分子筛.用XRD、氮气吸附及^(29)Si MAS NMR对样品进行了表征.与常压合成的相比,高压下合成的MCM-48具有更高的热稳...采用正硅酸乙酯(TEOS)作硅源,十六烷基三甲基溴化铵(CTAB)为模板剂,在高压(约7 MPa)和373 K下合成了MCM-48介孔分子筛.用XRD、氮气吸附及^(29)Si MAS NMR对样品进行了表征.与常压合成的相比,高压下合成的MCM-48具有更高的热稳定性和水热稳定性.^(29)Si MAS NMR结果表明,高压有利于分子筛孔壁的聚合,导致分子筛结构更加完善,从而使其具有更高的稳定性.展开更多
文摘Background: Nowadays, emergence of Carbapenemase-Producing Enterobacterales (CPE) throughout the world has become a public health problem, especially in countries with limited resources. In recent years, CPE of type OXA-48 (Ambler class D) have been identified in Dakar. The aim of this study was to evaluate the phenotypic detection of OXA-48 CPE using a temocillin disc (30 μg). Methodology: A retrospective study was carried out at Medical Biology Laboratory of Pasteur Institute in Dakar on Ertapenem-Resistant Enterobacterales (ERE) strains isolated from 2015 to 2017. These strains were then tested with a 30 μg temocillin disc. Any strain resistant to temocillin (inhibition diameter Results: Forty-one ERE isolated during the study period were tested, of which 34 (82.9%) were OXA-48 based on phenotypic detection using temocillin disc and confirmed by PCR (100%). OXA-48 CPE strains detected were composed of Klebsiella pneumoniae (n = 14;41.2%), Enterobacter cloacae (n = 8;23.5%), Escherichia coli (n = 7, 20.5%), Citrobacter freundii (n = 3;8.8%), Cronobacter sakazakii (n = 1;3%) and Morganella morganii (n = 1;3%). Conclusion: Temocillin resistance has a good positive predictive value for detecting OXA-48 CPE by phenotypic method, confirmed by PCR. Temocillin is therefore a good marker for detection of OXA-48 CPE except Hafnia alvei.
文摘采用正硅酸乙酯(TEOS)作硅源,十六烷基三甲基溴化铵(CTAB)为模板剂,在高压(约7 MPa)和373 K下合成了MCM-48介孔分子筛.用XRD、氮气吸附及^(29)Si MAS NMR对样品进行了表征.与常压合成的相比,高压下合成的MCM-48具有更高的热稳定性和水热稳定性.^(29)Si MAS NMR结果表明,高压有利于分子筛孔壁的聚合,导致分子筛结构更加完善,从而使其具有更高的稳定性.