Prevalence in the United States of aac(6 ′ ) - Ib - cr Encoding a Ciprofloxacin-Modifying Enzyme

Author:

Park Chi Hye1,Robicsek Ari2,Jacoby George A.3,Sahm Daniel4,Hooper David C.1

Affiliation:

1. Massachusetts General Hospital, Boston, Massachusetts

2. Evanston Northwestern Healthcare, Evanston, Illinois

3. Lahey Clinic, Burlington, Massachusetts

4. Focus BioInova, Herndon, Virginia

Abstract

ABSTRACT Among 313 Enterobacteriaceae from the United States with a ciprofloxacin MIC of ≥0.25 μg/ml and reduced susceptibility to ceftazidime, aac(6)-Ib was present in 50.5% of isolates, and of these, 28% carried the cr variant responsible for low-level ciprofloxacin resistance. aac(6)-Ib-cr was geographically widespread, stable over time, most common in Escherichia coli , equally prevalent in ciprofloxacin-susceptible and -resistant strains, and not associated with qnr genes.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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