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Cited by 927

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

CTX-M: changing the face of ESBLs in Europe

Livermore, D. M., Canton, R., Gniadkowski, M., Nordmann, P., Rossolini, G. M., Arlet, G., Ayala, J., Coque, T. M., Kern-Zdanowicz, I., Luzzaro, F., Poirel, L., Woodford, N.·2006·Journal of Antimicrobial Chemotherapy

Abstract

Since around 2000 - earlier in Poland and Spain and later in France and the UK - dramatic shifts have occurred in the prevalence and types of extended-spectrum beta-lactamases (ESBLs) in Europe. Before this watershed, most producers were nosocomial isolates, often Klebsiella spp. or Enterobacter spp. from specialist care units, and had mutant TEM or SHV ESBLs. Subsequently, CTX-M ESBLs have become dominant, with much greater penetration into Escherichia coli, and with many infections in 'complicated community' patients, usually with underlying disease, recent antibiotic usage, or healthcare contact. The degree of clonality among producers varies with the country, as does the enzyme type produced, with group 9 (CTX-M-9 and -14) enzymes dominant in Spain and group 1 enzymes (particularly CTX-M-3 and -15) dominant elsewhere. Irrespective of the particular enzyme, most producers are multiresistant. These changing patterns present major therapeutic and infection control challenges, with the public health intervention points unclear.

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Metadata

Authors
Livermore, D. M., Canton, R., Gniadkowski, M., Nordmann, P., Rossolini, G. M., Arlet, G., Ayala, J., Coque, T. M., Kern-Zdanowicz, I., Luzzaro, F., Poirel, L., & Woodford, N.
Venue
Journal of Antimicrobial Chemotherapy
Published
2006-11-13
Volume
59
Issue
2
Pages
165-174
ISSN
  • 0305-7453 (ISSN-L)
  • 1460-2091
OpenAlex
W2108864681
Cited by
927
References
1
FWCI
24.80
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: CTX-M: changing the face of ESBLs in Europe. https://app.cochat.ai/papers/10.1093/jac/dkl483
The paper
Livermore, D. M., Canton, R., Gniadkowski, M., Nordmann, P., Rossolini, G. M., Arlet, G., Ayala, J., Coque, T. M., Kern-Zdanowicz, I., Luzzaro, F., Poirel, L., & Woodford, N. (2006). CTX-M: changing the face of ESBLs in Europe. Journal of Antimicrobial Chemotherapy. https://doi.org/10.1093/jac/dkl483

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.