CTX-M: changing the face of ESBLs in the UK

Livermore, DM and Hawkey, P. M. (2005) CTX-M: changing the face of ESBLs in the UK. Journal of Antimicrobial Chemotherapy, 56 (3). pp. 451-454. ISSN 0305-7453

Full text not available from this repository. (Request a copy)

Abstract

The UK has experienced a sudden rise in extended-spectrum ß-lactamase (ESBL) rates, largely due to the appearance and spread of Escherichia coli producing CTX-M-15 type ß-lactamase. The British Society for Antimicrobial Chemotherapy organized two update meetings during 2004 to report and discuss the recognition, clinical diagnosis, treatment and control of bacteria producing these ß-lactamases. This paper reports the data and reviews made by contributors to the conferences. The historical distribution and emergence of ESBLs was reviewed along with the emergence of plasmid-mediated CTX-M ESBLs following their mobilization from the chromosome of Kluyvera spp. The first significant outbreak of CTX-M producers in the UK occurred in 2001 and involved Klebsiella pneumoniae with CTX-M-26 at one site, but by 2003, cloned and diverse E. coli with CTX-M-15 were widespread, with Shropshire one of the most affected regions. The specific experience in Shropshire was reported on and a comprehensive review made of the level of awareness of the need for ESBL detection in laboratories in England and Wales, together with a description of the variety of methods that may be applied, with recommendations for optimal methodology. The increased mortality associated with inappropriate treatment of infections caused by ESBL-producing strains was highlighted, together with discussion on potential control of cross-infection. The meeting concluded that the CTX-M genes have now become widespread in not only E. coli but other Enterobacteriaceae in the UK and this will represent a substantial threat to both the treatment of infections caused by these bacteria in the community and within hospitals.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: Rhiannon Harvey
Date Deposited: 11 Jul 2011 11:30
Last Modified: 21 Apr 2020 19:56
URI: https://ueaeprints.uea.ac.uk/id/eprint/33496
DOI: 10.1093/jac/dki239

Actions (login required)

View Item View Item