



@article {2334,
	title = {Molecular epidemiology of pseudomonas aeruginosa clinical isolates from Portuguese Central Hospital},
	journal = {Folia MicrobiologicaFolia Microbiol.},
	volume = {53},
	year = {2008},
	note = {Cited By (since 1996): 3Export Date: 21 November 2012Source: ScopusCODEN: FOMIAdoi: 10.1007/s12223-008-0086-yLanguage of Original Document: EnglishCorrespondence Address: Fonseca, A. P.Rua Roberto Frias s/n, 4200-465 Porto, Portugal; email: apfonseca08@sapo.ptChemicals/CAS: DNA, BacterialReferences: Bergmans, D., Bonten, M., van tiel, F., Gaillard, C., London, N., van der Geest, S., de Leeuw, P., Stobbrringh, E., Value of phenotyping methods as an initial screening of Pseudomonas aeruginosa in epidemiologic studies (1997) Infection, 25, pp. 350-354;Bertrand, X., Thouverez, M., Talon, D., Boillot, A., Capellier, G., Floriot, C., Helias, J.P., Endemicity, molecular diversity and colonization routes of Pseudomonas aeruginosa in intensive care units (2001) Intens.Care Med., 27, pp. 1263-1268; 
Br{\'\i}zio, A., Silva, A., Canas, E., Ferreira, T., Lito, L.M., Cristino, J.M., Salgado, M.J., Duarte, A., Spread of ln58 containing bla VIM-2 among Pseudomonas aeruginosa (2006) Clin.Microbiol.Infect.Dis., 12 (SUPPL. 4), p. 931; 
Br{\'\i}zio, A., Vasco, S., Gon{\c c}alves, A.R., Lito, L.M., Cristino, J.M., Salgado, M.J., Duarte, A., Survey of extended-spectrum β-lactamases in Escherichia coli isolates from a Portuguese hospital and characterisation of a novel class 1 integron (In60A) carrying the blaCTX-M-9 gene (2006) Internat.J.Antimicrob.Agents, 28, pp. 320-324; 
Buchholz, P., Richter, M., Fiedler, G., Halle, E., Epidemiological fingerprinting of multiresistant strains of Pseudomonas aeruginosa isolated from patients of intensive care units of the Charit{\'e} Hospital, Berlin (1995) Med.Microbiol.Lett., 4, pp. 7-13; 
{\v C}ernohorsk{\'a}, L., Votava, M., Antibiotic synergy against biofilm-forming Pseudomonas aeruginosa (2008) Folia Microbiol, 53, pp. 57-61; 
Elaichouni, A., Verschraegen, G., Claeys, G., Devleeschouwer, M., Godard, C., Vaneechoutte, M., Pseudomonas aeruginosa serotype O12 outbreak studied by arbitrary primer PCR (1994) J.Clin.Microbiol., 32, pp. 666-671; 
Fonseca, A.P., Correia, P., Fonseca, A.F., Tenreiro, R., Sousa, J.C., Polyphasic approach to the characterization of Pseudomonas aeruginosa isolates from a Portuguese Central Hospital (2004) Clin.Microbiol.Infect., 10 (SUPPL. 3), p. 1113; 
Fonseca, A.P., Correia, P., Sousa, J.C., Tenreiro, R., Association patterns of Pseudomonas aeruginosa clinical isolates as revealed by virulence traits, antibiotic resistance, serotype and genotype (2007) FEMS Immunol.Med.Microbiol., 51, pp. 505-516; 
Grundmann, H., Kropec, A., Hartung, D., Berner, R., Daschner, F., Pseudomonas aeruginosa in a neonatal intensive care unit: Reservoirs and ecology of the nosocomial pathogen (1993) J.Infect.Dis., 168, pp. 943-947; 
Grundmann, H.J., Towner, K.J., Dijkshoorn, L., Gerner-smidt, P., Maher, M., Seifert, H., Vaneechoutte, M., Multicenter study using standardized protocols and reagents for evaluation of reproducibility of PCR-based fingerprinting of Acinetobacter spp (1997) J.Clin.Microbiol., 35, pp. 3071-3077; 
Ho{\v s}tack{\'a}, A., {\v C}i{\v z}n{\'a}r, I., Slobodn{\'\i}kov{\'a}, L., Kotulov{\'a}, D., Clinical Pseudomonas aeruginosa: Potential factors of pathogenicity and resistance to antimicrobials (2006) Folia Microbiol, 51, pp. 633-638; 
Hunter, P.R., Gaston, M.M., Numerical index of the discriminatory ability of typing systems: An application of Simpson{\textquoteright}s index of diversity (1989) J.Clin.Microbiol., 26, pp. 2465-2466; 
Huston, W.M., Potter, A.J., Jennings, M.P., Rello, J., Hauser, A.R., McEwan, A.G., Survey of ferroxidase expression and siderophore production in clinical isolates of Pseudomonas aeruginosa (2004) J.Clin.Microbiol., 42, pp. 2806-2809; 
Jalaluddin, S., Devaster, J.-M., Scheen, R., Gerard, M., Butzler, J.-P., Molecular epidemiological study of nosocomial Enterobacter aerogenes isolates in a Belgian hospital (1998) J.Clin.Microbiol., 36, pp. 1846-1852; 
Juretschko, S., Labombardi, V.J., Lerner, S.A., Schreckenberger, P.C., Pseudomonas AST Study Group: Accuracies of β-lactam susceptibility test results for Pseudomonas aeruginosa with four automated systems (BD Phoenix, MicroScan WalkAway, Vitek, and Vitek 2) (2007) J.Clin.Microbiol., 45, pp. 1339-1342; 
King, E.O., Ward, M.K., Raney, D.E., Two simple media for the demonstration of pyocyanin and fluorescein (1954) J.Lab.Clin.Med., 44, pp. 301-307; 
Kiska, D.L., Gilligan, P.H., Pseudomonas and Burkholderia (1999) Manual of Clinical Microbiology, pp. 517-525. , in P.R.Murray,E.J.Baron,M.A.Pfaller,F.C.Tenover,R.H.Yolken(Eds) 7th ed. American Society for Microbiology,Washington (DC); 
Morales, G., Wiehlmann, L., Gudowius, P., van Delden, C., T{\"u}mmler, B., Mart{\'\i}nez, J.L., Rojo, F., Structure of Pseudomonas aeruginosa populations analyzed by single nucleotide polymorphism and pulsed-field gel electrophoresis genotyping (2004) J.Bacteriol., 186, pp. 4228-4237; 
Nogueira, J.A., (1995) Pseudomonas Aeruginosa - Agente Nosocomial, , (In Portuguese) PhD Thesis. Faculdade de Medicina, Universidade do Porto, Porto (Portugal); 
Olive, P.B.D., Principles and applications of methods for DNA-based typing of microbial organisms (1999) J.Clin.Microbiol., 37, pp. 1661-1669; 
Pirnay, J.P., de Vos, D., Cochez, C., Bilocq, F., Vanderkelen, A., Zizi, M., Ghysels, B., Cornelis, P., Pseudomonas aeruginosa displays an epidemic population structure (2002) Environ.Microbiol., 4, pp. 898-911; 
Pirnay, J.P., Matthijs, S., Colak, H., Chablain, P., Bilocq, F., Van eldere, J., de Vos, D., Cornelis, P., Global Pseudomonas aeruginosa biodiversity as reflected in a Belgian river (2005) Environ.Microbiol., 7, pp. 969-980; 
Speijer, H., Savelkoulp, P.H.M., Bonten, M.J., Stobberingh, E.E., Tjhie, J.H.T., Application of different genotyping methods for Pseudomonas aeruginosa in a setting of endemicity in an intensive care unit (1999) J.Clin.Microbiol., 37, pp. 3654-3661; 
Tenover, F., Arbeit, R.D., Goering, R.V., Mickelsen, P.A., Murray, B.E., Persing, D.H., Swaminathan, B., Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: Criteria for bacterial strain typing (1995) J.Clin. Microbiol., 33, pp. 2233-2239; 
Wiehlmann, L., Wagner, G., Cramer, N., Siebert, B., Gudowius, P., Morales, G., K{\"o}hler, T., T{\"u}mmler, B., Population structure of Pseudomonas aeruginosa (2007) Proc.Nat.Acad.Sci.USA, 104, pp. 8101-8106
},
	month = {2008///},
	pages = {540 - 546},
	abstract = {The relatedness between clinical isolates of P. aeruginosa obtained from patients during their stay in a Portuguese Central Hospital was evaluated. Genotypic fingerprinting (M13-PCR), phenotypic methods (biotyping and antibiotyping) and epidemiological information (spatial and temporal links) were used to evaluate the relatedness between 88 clinical isolates (68 patients), selected randomly out of 189. Sixty-two M13 types were found, 12 of them containing isolates from more than one patient. Thirty-four antibiotypes were found, as well as a significant association (p < 0.05) between epidemic isolates and multiresistance patterns. The nosocomial transmission of P. aeruginosa strains may be limited since M13 typing demonstrated a high degree of diversity among all the isolates, suggesting the occurrence of mainly independent infectious episodes. The results show the possible occurrence of cross-acquisition, cross-colonization and cross-infection and suggest an epidemic population structure for P. aeruginosa in this hospital.},
	keywords = {antibiotic resistance, article, bacterial DNA, cross infection, disease transmission, DNA, Bacterial, Drug Resistance, Microbial, Electrophoresis, Gel, Pulsed-Field, epidemiology, genetics, genotype, Hospitals, Teaching, human, Humans, isolation and purification, microbiology, polymerase chain reaction, Portugal, Pseudomonas aeruginosa, Pseudomonas infection, Pseudomonas Infections, pulsed field gel electrophoresis, Sampling Studies, statistics, teaching hospital},
	isbn = {00155632 (ISSN)},
	url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-65549157108\&partnerID=40\&md5=ba6aed0b4b5f511f340fea96df7b6449},
	author = {Fonseca, A.P. and Correia, P. and Extremina, C.I. and Sousa, J.C. and Tenreiro, R. and Barros, H.}
}
