Class 1 Integrons Increase Trimethoprim-Sulfamethoxazole MICs against Epidemiologically Unrelated Stenotrophomonas maltophilia Isolates

Author:

Barbolla Raquel1,Catalano Mariana1,Orman Betina E.1,Famiglietti Angela2,Vay Carlos2,Smayevsky Jorgelina3,Centrón Daniela1,Piñeiro Silvia A.1

Affiliation:

1. Departamento de Microbiología, Parasitología e Inmunología, Facultad de Medicina

2. Laboratorio de Bacteriología, Departamento de Análisis Clínicos, Hospital de Clínicas, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires

3. Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires, Argentina

Abstract

ABSTRACT Twenty-five plasmid-specified antimicrobial resistance determinants common to gram-negative bacilli from nosocomial infection were investigated from 31 Stenotrophomonas maltophilia isolates. Twenty-four clones were identified by pulsed-field gel electrophoresis, and in three clones that exhibited an increased trimethoprim-sulfamethoxazole MIC, the sul1 determinant was found. These results support not only the higher spread of class 1 integrons compared to other mechanisms but also the potential limitation of using trimethoprim-sulfamethoxazole for therapy of severe S. maltophilia infections.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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