KPC-PRODUCING Serratia marcescens IN A HOME-CARE PATIENT FROM RECIFE, BRAZIL

Serratia marcescens produtora de KPC em paciente sob assistência médica domiciliar em Recife, Brazil

SUMMARY

In this brief communication we describe the occurrence of a KPC-producing Serratia marcescensisolate in a home-care patient from Recife, Brazil. The bla_KPC, bla_SPM, bla_IMP, bla_VIMbla_OXA, bla_CTX-M, bla_SHV, bla_TEM and bla_GES genes were investigated by Polymerase Chain Reaction (PCR) and DNA sequencing. The isolate was positive for bla_KPC-2 and bla_TEM-1 and was resistant to aztreonam, cefepime, cefotaxime, imipenem, meropenem, gentamicin, ciprofloxacin and cefazidime, and susceptible only to amikacin, tigecycline and gatifloxacin. This is the first report in Brazil of KPC-producing S. marcescens clinical isolate outside of a hospital environment. Caregivers should be alert for the presence of this isolate in the community setting.

KEYWORDS:
Serratia marcescens; KPC-2 beta-lactamase; Carbapenemase; Multidrug-resistance