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Molecular study of gram-negative beta-lactamase producing bacteria isolated from patients with suspected meningitis in the Ribeirão Preto region

Grant number: 15/23484-9
Support Opportunities:Scholarships in Brazil - Doctorate (Direct)
Start date: December 01, 2015
End date: April 03, 2019
Field of knowledge:Biological Sciences - Microbiology - Applied Microbiology
Principal Investigator:Ana Lúcia da Costa Darini
Grantee:Anelise Stella Ballaben
Host Institution: Faculdade de Ciências Farmacêuticas de Ribeirão Preto (FCFRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
Associated research grant:14/14494-8 - Molecular epidemiology of gram-negative bacteria and genetic of antibiotic resistance, AP.TEM
Associated scholarship(s):17/11707-9 - Molecular investigation of high-level aminoglycoside resistance among Gram-negative bacilli isolated from cerebrospinal fluid and blood of hospitalized patients in Brazil, BE.EP.DD

Abstract

Although there are few reports regarding Enterobacteriaceae and Non-Fermenting Gram-Negative (BGN-NF) bacilli causing meningitis, these bacteria can both cause community and/or hospitalar meningitis. The treatment of the patients is compromised since it is increasingly common strains which have important resistance mechanisms, for example, production of Extended Spectrum Beta-Lactamase Enzymes (ESBL), AmpC and carbapenemases. It is known that several plasmidial resistance genes are widespread among the Enterobacteriaceae family and also among non-fermenting gram-negative bacilli. It is of great importance the detection and identification of these plasmidial genes for therapeutics, in order to increase the life expectancy and/or the improvement of the patient's life quality affected by the pathogen. The aim of this work is the phenotypic and molecular study of the production of ESBL, AmpC and carbapenemase in Enterobacteriaceae and BGN-NF isolated from patients with suspected meningitis in the region of Ribeirão Preto, which were previously investigated at the Instituto Adolfo Lutz of Ribeirão Preto, after 2006. It will be necessary to establish the sensitivity to beta-lactam antibiotics, phenotypic detection of ESBL production by the isolates, identification of ESBL, carbapenemase and AmpC encoding genes involved in the phenotype of resistance to beta-lactam antibiotics, evaluate probable concomitant presence of ESBL and other beta-lactamases and investigate the incompatibility group of plasmids present in these bacteria as well as the size and number of these plasmids. (AU)

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Scientific publications (5)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
BALLABEN, ANELISE STELLA; GALETTI, RENATA; FERREIRA, JOSEANE CRISTINA; PAZIANI, MARIO HENRIQUE; KRESS, MARCIA REGINA VON ZESKA; GARCIA, DOROTI DE OLIVEIRA; DA SILVA, PAULO; DOI, YOHEI; DARINI, ANA LUCIA COSTA; ANDRADE, LEONARDO NEVES. Different virulence genetic context of multidrug-resistant CTX-M- and KPC-producing Klebsiella pneumoniae isolated from cerebrospinal fluid. DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, v. 104, n. 3, p. 5-pg., . (15/11728-0, 14/14494-8, 15/23484-9)
BALLABEN, ANELISE S.; ANDRADE, LEONARDO N.; GALETTI, RENATA; FERREIRA, JOSEANE C.; MCELHENY, CHRISTI L.; METTUS, ROBERTA T.; DA SILVA, PAULO; GARCIA, DOROTI DE OLIVEIRA; DARINI, ANA LUCIA C.; DOI, YOHEI. Diversity of High-Level Aminoglycoside Resistance Mechanisms among Gram-Negative Nosocomial Pathogens in Brazil. Antimicrobial Agents and Chemotherapy, v. 62, n. 11, . (15/23484-9, 17/11707-9, 15/11728-0, 14/14494-8)
SERIBELLI, AMANDA APARECIDA; BALLABEN, ANELISE STELLA; FERREIRA, JOSEANE CRISTINA; CAZENTINI MEDEIROS, MARTA INES; COSTA DARINI, ANA LUCIA; FALCAO, JULIANA PFRIMER. IncU plasmid harbouring bla(CTX-M-8) in multidrug-resistant Shigella sonnei in Brazil. JOURNAL OF GLOBAL ANTIMICROBIAL RESISTANCE, v. 14, p. 99-100, . (15/23484-9, 14/13029-0, 14/14494-8)
BALLABEN, ANELISE STELLA; GALETTI, RENATA; ANDRADE, LEONARDO NEVES; FERREIRA, JOSEANE CRISTINA; GARCIA, DOROTI DE OLIVEIRA; DOI, YOHEI; COSTA DARINI, ANA LUCIA. Extensively drug-resistant IMP-16-producing Pseudomonas monteilii isolated from cerebrospinal fluid. INFECTION GENETICS AND EVOLUTION, v. 87, . (14/14494-8, 15/11728-0, 15/23484-9)
BALLABEN, ANELISE STELLA; GALETTI, RENATA; ANDRADE, LEONARDO NEVES; FERREIRA, JOSEANE CRISTINA; GARCIA, DOROTI DE OLIVEIRA; DA SILVA, PAULO; DOI, YOHEI; COSTA DARINI, ANA LUCIA. Plasmid Carrying bla(CTX-M-2) and bla(GES-1) in Extensively Drug-Resistant Pseudomonas aeruginosa from Cerebrospinal Fluid. Antimicrobial Agents and Chemotherapy, v. 63, n. 7, . (15/23484-9, 14/14494-8, 15/11728-0)
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
BALLABEN, Anelise Stella. Genetic study of resistance to beta-lactam, quinolones and aminoglycosides in bacteria isolated from patients with suspected meningitis in the State of São Paulo. 2019. Doctoral Thesis - Universidade de São Paulo (USP). Faculdade de Ciências Farmacêuticas de Ribeirão Preto (PCARP/BC) Ribeirão Preto.