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. 2010 May 26;48(7):2618–2622. doi: 10.1128/JCM.00568-10

TABLE 2.

Details of discrepancies between conventional PCR plus DNA sequencing results and Check KPC/ESBL genotyping results

Strain Source or reference Gene identified by PCR and DNA sequencing Gene identified by Check KPC/ESBL genotyping Comment(s)
E. coli DH10B This study blaSHV-38 SHV-non-ESBL Rare chromosomal genotype found in a single K. pneumoniae isolate (18); mutation conferring ESBL phenotype not assayed with current microarray primers
K. pneumoniae VA-361a 4 blaKPC-2, blaTEM-1, blaSHV-11 KPC, TEM-non-ESBL, SHV-ESBL Possible production of an SHV-ESBL (e.g., SHV-5/SHV-12)
K. pneumoniae VA-388 4 blaKPC-3, blaTEM-1, blaSHV-11 KPC, TEM-non-ESBL SHV genes were not detected
K. pneumoniae VA-392a 4 blaKPC-3, blaTEM-1, blaSHV-11 KPC, TEM-non-ESBL, SHV-ESBL Possible production of an SHV-ESBL (e.g., SHV-5/SHV-12)
K. pneumoniae VA-412a 4 blaKPC-2, blaTEM-1, blaSHV-11 KPC, TEM-non-ESBL, SHV-ESBL Possible production of an SHV-ESBL (e.g., SHV-5/SHV-12)
K. pneumoniae VA-414 4 blaKPC-3, blaTEM-1, blaSHV-11 KPC, TEM-non-ESBL, SHV-ESBL SHV-11 is not an ESBL
K. pneumoniae 111b 15 blaTEM-10-like, blaSHV-1-like TEM-ESBL, SHV-ESBL SHV-1 is not an ESBL
K. pneumoniae 438b 15 blaTEM-2-like, blaSHV-1-like TEM-non-ESBL, SHV-ESBL SHV-1 is not an ESBL
E. coli 25 This study blaCTX-M-9-like CTX-M-(IV),c TEM-non-ESBL blaTEM genes were not detected by PCR analysis (including using internal primers); aIEF showed only one β-lactamase band at a pI of 6.7, possibly related to the CTX-M enzyme expression
a

Analytical isoelectric focusing (aIEF) revealed β-lactamase bands with pIs of 7.6 and 8.2 and initial standard DNA sequencing of blaSHV showed double spikes in amino acid position 238 and/or 240 (4).

b

Partial DNA sequencing (i.e., from amino acid 35 to 274 for TEMs and from 8 to 249 for SHVs). The blaSHV and blaTEM sequences did not show substitutions conferring an ESBL phenotype.

c

Number in parentheses following CTX-M designation indicates the family group for CTX-M-type ESBLs (16).