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Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 11/2012

01.11.2012 | Article

Prevalences of the Enterobacter cloacae complex and its phylogenetic derivatives in the nosocomial environment

verfasst von: A. Kremer, H. Hoffmann

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 11/2012

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Abstract

Despite the importance of the Enterobacter cloacae complex as a nosocomial pathogen, little is known about the relative contribution of its single species and genotypes to its pathogenicity. We studied here the relationship between phylogenetically related strains and clinical infection sites. A total of 196 prospectively collected isolates of the E. cloacae complex were included in the study, comprising 67 blood culture isolates. Isolates were analyzed for clonality by pulsed-field gel electrophoresis (PFGE) and genetically assigned to their genotypes by partial hsp60 sequencing. Most isolates belonged in phylogenetic clade 1, with E. hormaechei being the most prevalent species. Notably, some genotypes and species, indeed, showed predilections to certain clinical specimens, whereas clinical outbreaks with members of the E. cloacae complex were rare. Our study stresses the need to identify alleged E. cloacae isolates on the subspecies level in clinical routine in order to obtain more insight into their distinct infectious potentials.
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Literatur
1.
Zurück zum Zitat Halda-Alija L, Hendricks SP, Johnston TC (2001) Spatial and temporal variation of Enterobacter genotypes in sediments and the underlying hyporheic zone of an agricultural stream. Microb Ecol 42:286–294. doi:10.1007/s00248-001-0021-0 PubMedCrossRef Halda-Alija L, Hendricks SP, Johnston TC (2001) Spatial and temporal variation of Enterobacter genotypes in sediments and the underlying hyporheic zone of an agricultural stream. Microb Ecol 42:286–294. doi:10.​1007/​s00248-001-0021-0 PubMedCrossRef
2.
Zurück zum Zitat Keller R, Pedroso MZ, Ritchmann R, Silva RM (1998) Occurrence of virulence-associated properties in Enterobacter cloacae. Infect Immun 66:645–649PubMed Keller R, Pedroso MZ, Ritchmann R, Silva RM (1998) Occurrence of virulence-associated properties in Enterobacter cloacae. Infect Immun 66:645–649PubMed
3.
Zurück zum Zitat Roberts DP, Dery PD, Yucel I, Buyer J, Holtman MA, Kobayashi DY (1999) Role of pfkA and general carbohydrate catabolism in seed colonization by Enterobacter cloacae. Appl Environ Microbiol 65:2513–2519PubMed Roberts DP, Dery PD, Yucel I, Buyer J, Holtman MA, Kobayashi DY (1999) Role of pfkA and general carbohydrate catabolism in seed colonization by Enterobacter cloacae. Appl Environ Microbiol 65:2513–2519PubMed
4.
Zurück zum Zitat Dushay MS, Asling B, Hultmark D (1996) Origins of immunity: Relish, a compound Rel-like gene in the antibacterial defense of Drosophila. Proc Natl Acad Sci U S A 93:10343–10347PubMedCrossRef Dushay MS, Asling B, Hultmark D (1996) Origins of immunity: Relish, a compound Rel-like gene in the antibacterial defense of Drosophila. Proc Natl Acad Sci U S A 93:10343–10347PubMedCrossRef
5.
Zurück zum Zitat Sanders WE Jr, Sanders CC (1997) Enterobacter spp.: pathogens poised to flourish at the turn of the century. Clin Microbiol Rev 10:220–241PubMed Sanders WE Jr, Sanders CC (1997) Enterobacter spp.: pathogens poised to flourish at the turn of the century. Clin Microbiol Rev 10:220–241PubMed
6.
Zurück zum Zitat Hoffmann H, Stindl S, Ludwig W, Stumpf A, Mehlen A, Monget D, Pierard D, Ziesing S, Heesemann J, Roggenkamp A, Schleifer KH (2005) Enterobacter hormaechei subsp. oharae subsp. nov., E. hormaechei subsp. hormaechei comb. nov., and E. hormaechei subsp. steigerwaltii subsp. nov., three new subspecies of clinical importance. J Clin Microbiol 43:3297–3303. doi:10.1128/JCM.43.7.3297-3303.2005 PubMedCrossRef Hoffmann H, Stindl S, Ludwig W, Stumpf A, Mehlen A, Monget D, Pierard D, Ziesing S, Heesemann J, Roggenkamp A, Schleifer KH (2005) Enterobacter hormaechei subsp. oharae subsp. nov., E. hormaechei subsp. hormaechei comb. nov., and E. hormaechei subsp. steigerwaltii subsp. nov., three new subspecies of clinical importance. J Clin Microbiol 43:3297–3303. doi:10.​1128/​JCM.​43.​7.​3297-3303.​2005 PubMedCrossRef
7.
Zurück zum Zitat Hoffmann H, Stindl S, Stumpf A, Mehlen A, Monget D, Heesemann J, Schleifer KH, Roggenkamp A (2005) Description of Enterobacter ludwigii sp. nov., a novel Enterobacter species of clinical relevance. Syst Appl Microbiol 28:206–212. doi:10.1016/j.syapm.2004.12.009 PubMedCrossRef Hoffmann H, Stindl S, Stumpf A, Mehlen A, Monget D, Heesemann J, Schleifer KH, Roggenkamp A (2005) Description of Enterobacter ludwigii sp. nov., a novel Enterobacter species of clinical relevance. Syst Appl Microbiol 28:206–212. doi:10.​1016/​j.​syapm.​2004.​12.​009 PubMedCrossRef
8.
Zurück zum Zitat Hoffmann H, Stindl S, Ludwig W, Stumpf A, Mehlen A, Heesemann J, Monget D, Schleifer KH, Roggenkamp A (2005) Reassignment of Enterobacter dissolvens to Enterobacter cloacae as E. cloacae subspecies dissolvens comb. nov. and emended description of Enterobacter asburiae and Enterobacter kobei. Syst Appl Microbiol 28:196–205. doi:10.1016/j.syapm.2004.12.010 PubMedCrossRef Hoffmann H, Stindl S, Ludwig W, Stumpf A, Mehlen A, Heesemann J, Monget D, Schleifer KH, Roggenkamp A (2005) Reassignment of Enterobacter dissolvens to Enterobacter cloacae as E. cloacae subspecies dissolvens comb. nov. and emended description of Enterobacter asburiae and Enterobacter kobei. Syst Appl Microbiol 28:196–205. doi:10.​1016/​j.​syapm.​2004.​12.​010 PubMedCrossRef
10.
Zurück zum Zitat Stumpf AN, Roggenkamp A, Hoffmann H (2005) Specificity of enterobacterial repetitive intergenic consensus and repetitive extragenic palindromic polymerase chain reaction for the detection of clonality within the Enterobacter cloacae complex. Diagn Microbiol Infect Dis 53:9–16. doi:10.1016/j.diagmicrobio.2005.04.003 PubMedCrossRef Stumpf AN, Roggenkamp A, Hoffmann H (2005) Specificity of enterobacterial repetitive intergenic consensus and repetitive extragenic palindromic polymerase chain reaction for the detection of clonality within the Enterobacter cloacae complex. Diagn Microbiol Infect Dis 53:9–16. doi:10.​1016/​j.​diagmicrobio.​2005.​04.​003 PubMedCrossRef
11.
Zurück zum Zitat Versalovic J, Koeuth T, Lupski JR (1991) Distribution of repetitive DNA sequences in eubacteria and application to fingerprinting of bacterial genomes. Nucleic Acids Res 19:6823–6831PubMedCrossRef Versalovic J, Koeuth T, Lupski JR (1991) Distribution of repetitive DNA sequences in eubacteria and application to fingerprinting of bacterial genomes. Nucleic Acids Res 19:6823–6831PubMedCrossRef
13.
Zurück zum Zitat Lindh E, Ursing J (1991) Genomic groups and biochemical profiles of clinical isolates of Enterobacter cloacae. APMIS 99:507–514PubMedCrossRef Lindh E, Ursing J (1991) Genomic groups and biochemical profiles of clinical isolates of Enterobacter cloacae. APMIS 99:507–514PubMedCrossRef
14.
Zurück zum Zitat Grimont F, Grimont PAD (1992) The genus Enterobacter. In: Balows A, Trüper HG, Dworkin M, Harder W, Schleifer K-H (eds) The prokaryotes, 2nd edn. Springer-Verlag, New York, pp 2797–2815 Grimont F, Grimont PAD (1992) The genus Enterobacter. In: Balows A, Trüper HG, Dworkin M, Harder W, Schleifer K-H (eds) The prokaryotes, 2nd edn. Springer-Verlag, New York, pp 2797–2815
15.
Zurück zum Zitat Paauw A, Caspers MP, Leverstein-van Hall MA, Schuren FH, Montijn RC, Verhoef J, Fluit AC (2009) Identification of resistance and virulence factors in an epidemic Enterobacter hormaechei outbreak strain. Microbiology 155:1478–1488. doi:10.1099/mic.0.024828-0 PubMedCrossRef Paauw A, Caspers MP, Leverstein-van Hall MA, Schuren FH, Montijn RC, Verhoef J, Fluit AC (2009) Identification of resistance and virulence factors in an epidemic Enterobacter hormaechei outbreak strain. Microbiology 155:1478–1488. doi:10.​1099/​mic.​0.​024828-0 PubMedCrossRef
16.
Zurück zum Zitat Gayle WE, Mayhall CG, Lamb VA, Apollo E, Haynes BW Jr (1978) Resistant Enterobacter cloacae in a burn center: the ineffectiveness of silver sulfadiazine. J Trauma 18:317–323PubMedCrossRef Gayle WE, Mayhall CG, Lamb VA, Apollo E, Haynes BW Jr (1978) Resistant Enterobacter cloacae in a burn center: the ineffectiveness of silver sulfadiazine. J Trauma 18:317–323PubMedCrossRef
17.
Zurück zum Zitat Markowitz SM, Smith SM, Williams DS (1983) Retrospective analysis of plasmid patterns in a study of burn unit outbreaks of infection due to Enterobacter cloacae. J Infect Dis 148:18–23PubMedCrossRef Markowitz SM, Smith SM, Williams DS (1983) Retrospective analysis of plasmid patterns in a study of burn unit outbreaks of infection due to Enterobacter cloacae. J Infect Dis 148:18–23PubMedCrossRef
18.
Zurück zum Zitat Dalben M, Varkulja G, Basso M, Krebs VL, Gibelli MA, van der Heijden I, Rossi F, Duboc G, Levin AS, Costa SF (2008) Investigation of an outbreak of Enterobacter cloacae in a neonatal unit and review of the literature. J Hosp Infect 70:7–14. doi:10.1016/j.jhin.2008.05.003 PubMedCrossRef Dalben M, Varkulja G, Basso M, Krebs VL, Gibelli MA, van der Heijden I, Rossi F, Duboc G, Levin AS, Costa SF (2008) Investigation of an outbreak of Enterobacter cloacae in a neonatal unit and review of the literature. J Hosp Infect 70:7–14. doi:10.​1016/​j.​jhin.​2008.​05.​003 PubMedCrossRef
19.
Zurück zum Zitat v Dijk Y, Bik EM, Hochstenbach-Vernooij S, v d Vlist GJ, Savelkoul PH, Kaan JA, Diepersloot RJ (2002) Management of an outbreak of Enterobacter cloacae in a neonatal unit using simple preventive measures. J Hosp Infect 51:21–26. doi:10.1053/jhin.2002.1186 PubMedCrossRef v Dijk Y, Bik EM, Hochstenbach-Vernooij S, v d Vlist GJ, Savelkoul PH, Kaan JA, Diepersloot RJ (2002) Management of an outbreak of Enterobacter cloacae in a neonatal unit using simple preventive measures. J Hosp Infect 51:21–26. doi:10.​1053/​jhin.​2002.​1186 PubMedCrossRef
20.
Zurück zum Zitat Fernández-Baca V, Ballesteros F, Hervás JA, Villalón P, Domínguez MA, Benedí VJ, Albertí S (2001) Molecular epidemiological typing of Enterobacter cloacae isolates from a neonatal intensive care unit: three-year prospective study. J Hosp Infect 49:173–182. doi:10.1053/jhin.2001.1053 PubMedCrossRef Fernández-Baca V, Ballesteros F, Hervás JA, Villalón P, Domínguez MA, Benedí VJ, Albertí S (2001) Molecular epidemiological typing of Enterobacter cloacae isolates from a neonatal intensive care unit: three-year prospective study. J Hosp Infect 49:173–182. doi:10.​1053/​jhin.​2001.​1053 PubMedCrossRef
21.
Zurück zum Zitat Grattard F, Pozzetto B, Berthelot P, Rayet I, Ros A, Lauras B, Gaudin OG (1994) Arbitrarily primed PCR, ribotyping, and plasmid pattern analysis applied to investigation of a nosocomial outbreak due to Enterobacter cloacae in a neonatal intensive care unit. J Clin Microbiol 32:596–602PubMed Grattard F, Pozzetto B, Berthelot P, Rayet I, Ros A, Lauras B, Gaudin OG (1994) Arbitrarily primed PCR, ribotyping, and plasmid pattern analysis applied to investigation of a nosocomial outbreak due to Enterobacter cloacae in a neonatal intensive care unit. J Clin Microbiol 32:596–602PubMed
22.
Zurück zum Zitat Wenger PN, Tokars JI, Brennan P, Samel C, Bland L, Miller M, Carson L, Arduino M, Edelstein P, Aguero S, Riddle C, O’Hara C, Jarvis W (1997) An outbreak of Enterobacter hormaechei infection and colonization in an intensive care nursery. Clin Infect Dis 24:1243–1244PubMedCrossRef Wenger PN, Tokars JI, Brennan P, Samel C, Bland L, Miller M, Carson L, Arduino M, Edelstein P, Aguero S, Riddle C, O’Hara C, Jarvis W (1997) An outbreak of Enterobacter hormaechei infection and colonization in an intensive care nursery. Clin Infect Dis 24:1243–1244PubMedCrossRef
Metadaten
Titel
Prevalences of the Enterobacter cloacae complex and its phylogenetic derivatives in the nosocomial environment
verfasst von
A. Kremer
H. Hoffmann
Publikationsdatum
01.11.2012
Verlag
Springer-Verlag
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 11/2012
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-012-1646-2

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