4.5 Review

Detection of expanded-spectrum -lactamases in Gram-negative bacteria in the 21st century

Journal

EXPERT REVIEW OF ANTI-INFECTIVE THERAPY
Volume 13, Issue 9, Pages 1139-1158

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1586/14787210.2015.1066247

Keywords

antibiotic resistance; Gram-negative bacteria; molecular detection; phenotypic detection; whole genome sequencing; -lactamases

Funding

  1. AZM Research Center for Biotechnology and its Application, Lebanese University, Lebanon
  2. National Council for Scientific Research, Lebanon
  3. IHU Mediterranee Infection
  4. French CNRS

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Emerging -lactamase-producing-bacteria (ESBL, AmpC and carbapenemases) have become a serious problem in our community due to their startling spread worldwide and their ability to cause infections which are difficult to treat. Diagnosis of these -lactamases is of clinical and epidemiological interest. Over the past 10 years, several methods have been developed aiming to rapidly detect these emerging enzymes, thus preventing their rapid spread. In this review, we describe the range of screening and detection methods (phenotypic, molecular and other) for detecting these -lactamases but also whole genome sequencing as a tool for detecting the genes encoding these enzymes.

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