%0 Journal Article
%T Plasmid-mediated extended-spectrum beta-lactamase-producing strains of Enterobacteriaceae isolated from diabetes foot infections in a Brazilian diabetic center
%A Motta
%A R.N.
%A Oliveira
%A M.M.
%A Magalh£żes
%A P.S.F.
%A Dias
%A A.M.
%A Arag£żo
%A L.P.
%A Forti
%A A.C.
%A Carvalho
%A C.B.M.
%J Brazilian Journal of Infectious Diseases
%D 2003
%I Brazilian Society of Infectious Diseases
%R 10.1590/S1413-86702003000200006
%X we bacteriologically analyzed 156 species of enterobacteriaceae, isolated from 138 patients with community-acquired diabetic foot ulcers, in a prospective study made at a diabetic center and at the federal university of cear¨˘, brazil, from march, 2000, to november, 2001.the samples were cultured using selective media, and identification, susceptibility tests and detection of plasmid-mediated-extended-spectrum-b-lactamase (esbl) producing strains were made with conventional and automated methods. the most frequently occurring pathogens were k. pneumoniae (21.2%), morganella morganii (19.9%) and e. coli (15.4%). high resistance rates were noted for ampicillin, first generation cephalosporin, trimethoprim/sulfamethoxazole, tetracycline, amoxicillin-clavulanic acid and chloramphenicol. esbl-producing strains were detected in 6% of the patients. resistance among gram-negative bacteria has become increasingly common, even in community-acquired infections.
%K esbl-producing strains
%K antimicrobial resistance
%K enterobacteriaceae.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1413-86702003000200006&lng=en&nrm=iso&tlng=en