First case of NDM-1 producing Klebsiella pneumoniae in Caribbean islands

Characterize a NDM-1 producing K. pneumoniae isolate recovered from a patient hospitalized in Guadeloupe, French West Indies, after its transfer from CubaMethodsAntibiotic susceptibilities were determined by the disk diffusion method, and E-test. Carbapenemase production was assessed using the Carba NP test. Antibiotic resistance determinants and their surrounding structures were characterized by PCR mapping and DNA sequencing. Transfer of the β-lactam resistance marker was attempted by liquid mating-out assaysResultsHere we reported the first NDM-1 producing enterobacterial isolate recovered from Caribbean islands. This K. pneumoniae isolate belongs to a new sequence type (ST1649). The blaNDM-1 gene together with the aacA4 gene were carried on a self conjugative IncR plasmid of c.a. 80 kb.ConclusionThis study describes the first identification of a NDM-1 producer in Caribbean islands. The uncommon incompatibility group of the blaNDM-1 carrying plasmid and the uncommon ST type of the K. pneumoniae strain suggest a possible local emergence of NDM producers

Les courriers des médecins généralistes en vue d'une admission aux urgences (étude prospective sur 312 courriers dans le service des urgences du Centre Hospitalier de Douai)

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Synthesis and Characterization of Poly(acrylic acid) Brushes: "Grafting-Onto" Route

International audienceA guideline for the synthesis of poly(acrylic acid) brushes on planar silica surfaces by the grafting-onto approach is described. It is demonstrated that some thermal precautions must be taken to obtain extended brushes. It is also shown that neutron reflectivity is well suited for the characterization of each step of the synthesis, while it is (unfortunately) rarely used for that purpose. The steps are the following: first, the substrates are covered with a self-assembled monolayer of epoxy-terminated molecules; then, the poly(tert-butyl acrylate) brushes are built using preformed and end-functionalized chains; finally, the deprotection of the ester group is performed using a pyrolysis reaction to convert the poly(tert-butyl acrylate) brushes into poly(acrylic acid) brushes

Influence of composition on the morphology of polyurethane/acrylic latex particles and adhesive films

International audiencePolyurethane (PU)/acrylic hybrid particles with different PU contents were synthesized by miniemulsion polymerization and subsequently dried to give solid adhesive films. The morphologies of the particles and the morphologies and mechanical properties of the resulting films were investigated by Transmission electron microscopy combined with selective staining of the PU and by uniaxial tension tests. Morphological investigations showed a clear change in the particle morphology as the PU weight fraction increased. While at 5 wt% and 25 wt%, PU (with respect to total organic content) the particles were relatively homogeneous and mechanical properties of the films could be readily interpreted with molecular arguments, at 50 wt% PU a core-shell structure was observed. This heterogeneous structure of the 50 wt% PU particles persisted in the films, resulting in a percolating network of the harder PU phase. The low deformability and strain at failure of the 50% PU films suggest that, unlike the adhesives with lower PU content, the relatively weak interfaces between the original latex particles dominate the mechanical properties. (C) 2014 Elsevier Ltd. All rights reserved

Draft Genome Sequence of NDM-1-Producing Leclercia adecarboxylata

Here, we provide the first draft genome sequence of NDM-1-producing Leclercia adecarboxylata, a human-opportunistic pathogen. The draft genome sequence consists of a total length of 5.13 Mbp, with an average G+C content of 55.2%

Long-lasting successful dissemination of resistance to oxazolidinones in MDR Staphylococcus epidermidis clinical isolates in a tertiary care hospital in France

International audienceObjectives: Patient-and procedure-related changes in modern medicine have turned CoNS into one of the major nosocomial pathogens. Treatments of CoNS infections are challenging owing to the large proportion of MDR strains and oxazolidinones often remain the last active antimicrobial molecules. Here, we have investigated a long-lasting outbreak (2010-13) due to methicillin-and linezolid-resistant (LR) CoNS (n " 168), involving 72 carriers and 49 infected patients. Methods: Antimicrobial susceptibilities were tested by the disc diffusion method and MICs were determined by broth microdilution or Etest. The clonal relationship of LR Staphylococcus epidermidis (LRSE) was first determined using a semi-automated repetitive element palindromic PCR (rep-PCR) method. Then, WGS was performed on all cfr-positive LRSE (n " 30) and LRSE isolates representative of each rep-PCR-defined clone (n " 17). Self-transferability of cfr-carrying plasmids was analysed by filter-mating experiments. Results: This outbreak was caused by the dissemination of three clones (ST2, ST5 and ST22) of LRSE. In these clones, linezolid resistance was caused by (i) mutations in the chromosome-located genes encoding the 23S RNA and L3 and L4 ribosomal proteins, but also by (ii) the dissemination of two different self-conjugative plasmids carrying the cfr gene encoding a 23S RNA methylase. By monitoring linezolid prescriptions in two neighbouring hospitals, we highlighted that the spread of LR-CoNS was strongly associated with linezolid use. Conclusions: Physicians should be aware that plasmid-encoded linezolid resistance has started to disseminate among CoNS and that rational use of oxazolidinones is critical to preserve these molecules as efficient treatment options for MDR Gram-positive pathogens

A multiplex lateral flow immunoassay for the rapid identification of NDM-, KPC-, IMP- and VIM-type and OXA-48-like carbapenemase-producing enterobacteriaceae

Objectives: The global spread of carbapenemase-producing Enterobacteriaceae represents a substantial challenge in clinical practice and rapid and reliable detection of these organisms is essential. The aim of this study was to develop and validate a lateral flow immunoassay (Carba5) for the detection of the five main carbapenemases (KPC-, NDM-, VIM-and IMP-type and OXA-48-like). Methods: Carba5 was retrospectively and prospectively evaluated using 296 enterobacterial isolates from agar culture. An isolated colony was suspended in extraction buffer and then loaded on the manufactured Carba5. Results: All 185 isolates expressing a carbapenemase related to one of the Carba5 targets were correctly and unambiguously detected in <15 min. All other isolates gave negative results except those producing OXA-163 and OXA-405, which are considered low-activity carbapenemases. No cross-reaction was observed with non-targeted carbapenemases, ESBLs, AmpCs or oxacillinases (OXA-1, -2, -9 and -10). Overall, this assay reached 100% sensitivity and 95.3%(retrospectively) to 100% (prospectively) specificity. Conclusions: Carba5 is efficient, rapid and easy to implement in the routine workflow of a clinical microbiology laboratory for confirmation of the five main carbapenemases encountered in Enterobacteriaceae

Optimization of the rapid carbapenem inactivation method for use with AmpC hyperproducers-authors’ response

International audienc