\beta-Lactamases are an important resistance mechanism in Acinetobacter baumannii. Pseudomonas extended-resistance (PER-1) type \beta-lactamase-producing strains have been reported from various geographic locations; however, PER-1 type \beta-lactamases from Turkish hospitals have not been investigated extensively. The aim of this study was to determine the prevalence of PER-1 type \beta-lactamases in A. baumannii isolates in various regions of Turkey. Materials and methods: A total of 763 clinical A. baumannii isolates were collected from 9 university hospitals and 2 state hospitals between 2008 and 2011. Molecular amplification of the OXA-51 gene from the A. baumannii genome was performed in order to verify identification of the species. Real-time polymerase chain reaction was used to detect blaPER-1 genes. Results: PER-1 was detected in 24.6% of the isolates. The annual frequencies of the PER-1 enzyme were detected as 52.2%, 35.9%, and 8.3% in 2008, 2009, and 2010, respectively. PER-1 prevalence decreased gradually over time. The differences observed in PER-1 prevalence among the regions of Turkey were statistically significant (chi-square test; P < 0.001). Conclusion: These data demonstrate that the frequency of detection of PER-1 type \beta-lactamases in A. baumannii species has decreased in Turkey. However, the increased carbapenem resistance, together with multidrug resistance, has created a worrisome situation regarding this pathogen.
Acinetobacter baumannii, \beta-lactamases, PER-1
AŞIK, GÜLŞAH; ÖZDEMİR, MEHMET; KURTOĞLU, MUHAMMET GÜZEL; YAĞCI, SERVER; ÖKSÜZ, LÜTFİYE; GÜL, MUSTAFA; KOÇOĞLU, MÜCAHİDE ESRA; ÇETİN, EMEL SESLİ; SEYREK, ADNAN; BERKTAŞ, MUSTAFA; AYYILDIZ, AHMET; and ÇİFTCİ, İHSAN HAKKI
"Detection the frequency of PER-1 type extended-spectrum ß-lactamase-producing Acinetobacter baumannii clinical isolates in Turkey: a multicenter study,"
Turkish Journal of Medical Sciences: Vol. 44:
6, Article 19.
Available at: https://journals.tubitak.gov.tr/medical/vol44/iss6/19