Bacteremia Caused by a Beta-Lactamase Producing Strain of Branhamella Catarrhalis

Author(s):  
J. J. Christensen ◽  
B. Bruun
1986 ◽  
Vol 29 (4) ◽  
pp. 696-698 ◽  
Author(s):  
E Yokota ◽  
T Fujii ◽  
K Sato ◽  
M Inoue ◽  
S Mitsuhashi

1983 ◽  
Vol 92 (6_suppl) ◽  
pp. 18-19
Author(s):  
A. L. Kovatch ◽  
E. R. Wald ◽  
R. H. Michaels

1987 ◽  
Vol 99 (2) ◽  
pp. 445-453 ◽  
Author(s):  
Cristina DiGiovanni ◽  
Thomas V. Riley ◽  
Gerard F. Hoyne ◽  
Rebecca Yeo ◽  
Patricia Cooksey

SUMMARYDuring a 3-year periodBranhamella catarrhaliswas isolated in significant numbers from 239 (1·3%) of 19488 specimens of sputum sent for routine microbiological examination at a 700-bed general hospital. The majority of patients (83%) were over 60 years of age and 65% were male. There was a distinet seasonal variation in isolations with a peak incidence during the winter and early spring, a pattern not found with other pathogens. Susceptibility to amoxycillin decreased by approximately 50% over the 3 years, corresponding to an increased incidence of beta-lactamase-producing strains. There were minimal changes in susceptibility to other antimicrobial agents. Underlying pulmonary disease was the major factor predisposing toB. catarrhalisinfection, and 71% of patients were smokers or ex-smokers.


The Lancet ◽  
1984 ◽  
Vol 324 (8403) ◽  
pp. 647 ◽  
Author(s):  
D.T. Mcleod ◽  
F. Ahmad ◽  
MargaretA. Calder

1983 ◽  
Vol 2 (1) ◽  
pp. 34-38 ◽  
Author(s):  
PAUL A. SHURIN ◽  
COLIN D. MARCHANT ◽  
CHANG HWAN KIM ◽  
GEORGE F. VAN HARE ◽  
CANDICE E. JOHNSON ◽  
...  

1996 ◽  
Vol 40 (4) ◽  
pp. 966-972 ◽  
Author(s):  
H J Bootsma ◽  
H van Dijk ◽  
J Verhoef ◽  
A Fleer ◽  
F R Mooi

A rapid increase in the prevalence of beta-lactamase-producing Moraxella (Branhamella) catarrhalis strains has been noticed during the last decades. Today, more than 80% of strains isolated worldwide produce beta-lactamase. To investigate beta-lactamase(s) of M. catarrhalis at the molecular level, the BRO-1 beta-lactamase gene (bla) was isolated as part of a 4,223-bp HindIII fragment. Sequence analysis indicated that bla encodes a polypeptide of 314 amino acid residues. Insertional inactivation of bla in M. catarrhalis resulted in complete abrogation of beta-lactamase production and ampicillin resistance, demonstrating that bla is solely responsible for beta-lactam resistance. Comparison with other beta-lactamases suggested that M. catarrhalis beta-lactamase is a unique enzyme with conserved residues at the active sites. The presence of a signal sequence for lipoproteins suggested that it is lipid modified at its N terminus. In keeping with this assumption was the observation that 10% of beta-lactamase activity was found in the membrane compartment of M. catarrhalis. M. catarrhalis strains produce two types of beta-lactamase, BRO-1 and BRO-2, which differ in their isoelectric points. The BRO-1 and BRO-2 genes from two ATCC strains of M. catarrhalis were sequenced, and only one amino acid difference was found between the predicted products. However, there was a 21-bp deletion in the promoter region of the BRO-2 gene, possibly explaining the lower level of production of BRO-2. The G + C content of bla (31%) was significantly lower than those of the flanking genes (47 and 50%), and the overall G + C content of the M. catarrhalis genome (41%). These results indicate that bla was acquired by horizontal gene transfer from another, still unknown species.


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