{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:29:52Z","timestamp":1777922992246,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>\n                    Antimicrobial resistance represents the emerging problem of modern medicine. Despite the fact that\n                    <jats:italic toggle=\"yes\">Enterobacter<\/jats:italic>\n                    spp. is one of the most resistant pathogens, there has been a paucity of data on molecular epidemiology and antimicrobial susceptibility of community isolates in European countries as well as in Serbia. This study was conducted in 2016 and 2017 with the aim to investigate the prevalence of carbapenem-resistant\n                    <jats:italic toggle=\"yes\">Enterobacter<\/jats:italic>\n                    spp. community isolates, molecular determinants of carbapenem resistance, and their genetic relatedness. Seventeen (1.6%) of 1,040 isolates that were positive for carbapenemase screening in accordance with European Committee on Antimicrobial Susceptibility Testing (EUCAST) recommendations were included in the study. Minimum inhibitory concentrations for selected antimicrobials were determined by broth microdilution and by disk diffusion for chloramphenicol. Multiplex polymerase chain reactions (PCRs) for blaKPC, blaNDM, blaIMP, blaVIM, and blaOXA-48-like carbapenemase genes were performed. Clonality was assessed by enterobacterial repetitive intergenic consensus (ERIC)-PCR analysis. All isolates were multidrug resistant. The most frequent carbapenemase gene found was blaNDM (70.6%), followed by isolates coharboring blaNDM and blaOXA-48-like genes (23.5%) and a single isolate with the blaOXA-48-like gene (5.9%). ERIC-PCR molecular typing showed six different clusters (A\u2013F) with clonal relatedness among isolates from the same institution and association of clusters E and F with the blaNDM carbapenemase gene. Our results indicate the need for\n                    <jats:italic toggle=\"yes\">Enterobacter<\/jats:italic>\n                    spp. surveillance both in the community and hospitals to prevent spreading of multiresistant clones.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2019.0224","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T10:18:44Z","timestamp":1571998724000},"page":"378-384","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Antimicrobial Susceptibility and Molecular Characterization of Carbapenemase-Producing\n                    <i>Enterobacter<\/i>\n                    spp. Community Isolates in Belgrade, Serbia"],"prefix":"10.1177","volume":"26","author":[{"given":"Sne\u017eana","family":"Brki\u0107","sequence":"first","affiliation":[{"name":"Institute for Laboratory Diagnostics \u201cKonzilijum,\u201d Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragana","family":"Bo\u017ei\u0107","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nena","family":"Stojanovi\u0107","sequence":"additional","affiliation":[{"name":"City Institute of Public Health of Belgrade, Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teodora","family":"Vitorovi\u0107","sequence":"additional","affiliation":[{"name":"University Hospital Center \u201cDr Dragi\u0161a Mi\u0161ovi\u0107-Dedinje,\u201d Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Drina","family":"Topalov","sequence":"additional","affiliation":[{"name":"Institute for Laboratory Diagnostics \u201cKonzilijum,\u201d Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihajlo","family":"Jovanovi\u0107","sequence":"additional","affiliation":[{"name":"Institute for Laboratory Diagnostics \u201cKonzilijum,\u201d Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mladen","family":"Stepanovi\u0107","sequence":"additional","affiliation":[{"name":"Institute for Laboratory Diagnostics \u201cKonzilijum,\u201d Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"\u0106irkovi\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Institute of Microbiology and Immunology, University of Belgrade, Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,10]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"318","article-title":"WHO Pathogens Priority List Working Group","volume":"18","author":"Tacconelli E.","year":"2018","unstructured":"Tacconelli E., , Carrara E., , Savoldi A., , Harbarth S., , Mendelson M., , Monnet D.L, , Pulcini C., , Kahlmeter G., , Kluytmans J., , Carmeli Y., , Ouellette M., , Outterson K., , Patel J., , Cavaleri M., , Cox E.M, , Houchens C.., , Grayson M.L, , Hansen P., , Singh N., , Theuretzbacher U., , and Magrini N.. 2018. WHO Pathogens Priority List Working Group. Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis. Lancet Infect. Dis. 18:318\u2013327.","journal-title":"Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis. Lancet Infect. Dis"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1146\/annurev-micro-090110-102911","article-title":"Epidemiological expansion, structural studies, and clinical challenges of new \u03b2-lactamases from gram-negative bacteria","volume":"65","author":"Bush K.","year":"2011","unstructured":"Bush K., , and Fisher J.F.. 2011. Epidemiological expansion, structural studies, and clinical challenges of new \u03b2-lactamases from gram-negative bacteria. Annu. Rev. Microbiol. 65:455\u2013478.","journal-title":"Annu. Rev. 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Lancet Infect. Dis. 17:153\u2013163.","journal-title":"Occurrence of carbapenemase-producing Klebsiella pneumoniae and Escherichia coli in the European survey of carbapenemase-producing Enterobacteriaceae (EuSCAPE): a prospective, multinational study. Lancet Infect. Dis"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ijantimicag.2017.03.012","article-title":"Carbapenem-resistant Enterobacteriaceae in the community: a scoping review","volume":"50","author":"Kelly A.M.","year":"2017","unstructured":"Kelly A.M., , Mathema B., , and Larson E.L.. 2017. Carbapenem-resistant Enterobacteriaceae in the community: a scoping review. Int. J. Antimicrob. Agents. 50:127\u2013134.","journal-title":"Int. J. Antimicrob. Agents"},{"key":"e_1_3_3_13_2","unstructured":"World Health Organization. 2014. Antimicrobial resistance: global report on surveillance. 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