<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492017000200051</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2017.diciembre.51-56</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Primer aislamiento de Salmonella Javiana con portación de KPC-2 en Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[First isolation of Salmonella Javiana with KPC-2 in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melgarejo-T]]></surname>
<given-names><![CDATA[Nancy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Rossana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falcón]]></surname>
<given-names><![CDATA[Miryan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Irala]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Laboratorio Central de Salud Pública Dpto. Bacteriología y Micología]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto de Medicina Tropical Laboratorio de Bacteriología]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>7</volume>
<numero>2</numero>
<fpage>51</fpage>
<lpage>56</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492017000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492017000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492017000200051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Varios mecanismos de resistencia a diversos agentes antimicrobianos que se han incorporado al arsenal terapéutico, han emergido en los últimos años, destacando la aparición de carbapenemasas en enterobacterias, siendo Klebsiella pneumoniae carbapenemasa (KPC) una de las más importantes, identificada originalmente en los Estados Unidos en 1996. En Paraguay, los primeros aislamientos de cepas portadoras de carbapenemasa tipo KPC se obtuvieron en septiembre del año 2009, a partir del cual se confirmaron la presencia en varias especies de enterobacterias, siendo Klebsiella pneumoniae la de mayor prevalencia entre ellas. Según datos del centro de referencia, Salmonella entérica serotipo Typhimurium es el serovar más común identificado en muestras de heces hasta la fecha, y el serotipo Javiana el cuarto. En este informe se describe el primer aislamiento resistente a carbapenemes por carbapenemasa del tipo KPC-2 en Salmonella entérica serotipo Javiana aislado en febrero de 2015 de una muestra fecal. Además, en muestras de la misma paciente, fueron aisladas las especies Klebsiella pneumoniae resistente a carbapenemes por presencia de la misma enzima (KPC-2) en secreción orotraqueal y Enterococcus faecalis resistente a vancomicina en muestra fecal. Este hallazgo, confirma la portación del gen que codifica para la carbapenemasa tipo KPC-2 por cepa de Salmonella entérica, y que el mismo ocurre en un serotipo poco frecuente (serotipo Javiana). Además, la recuperación en otra muestra de la paciente de K. pneumoniae productora de carbapenemasa tipo KPC2 evidencia la diseminación de este mecanismo de resistencia entre las enterobacterias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT At the global level have emerged over the years, microorganisms resistant to various antimicrobial agents that have been incorporated to the therapeutic arsenal. Several mechanisms of resistance have emerged in recent years, highlighting the emergence of carbapenemases in enterobacterias, entity which Klebsiella pneumoniae carbapenemasa (KPC), being one of the most important, originally identified in the United States in 1996. In Paraguay, the first isolates of KPC carbapenemasecarrying strains were obtained in september 2009, from which the presence of several Enterobacteria species was confirmed, with Klebsiella pneumoniae being the most prevalent among them. According to data from the reference center, Salmonella enterica serotype Typhimurium is the most common serovar identified in stool samples to date, and the Javiana serotype the fourth. This report describes the first KPC-2 carbapenemase isolate in Salmonella enterica serovar Javiana isolated in February 2015 from a fecal sample. In addition, in samples from the same patient, Klebsiella pneumoniae species resistant to carbapenems were isolated by the presence of the same enzyme (KPC-2) in orotracheal secretion and vancomycin-resistant Enterococcus faecalis in fecal samples.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salmonella]]></kwd>
<kwd lng="es"><![CDATA[KPC]]></kwd>
<kwd lng="es"><![CDATA[carbapenemasas]]></kwd>
<kwd lng="es"><![CDATA[enterobacterias]]></kwd>
<kwd lng="en"><![CDATA[Salmonella]]></kwd>
<kwd lng="en"><![CDATA[KPC]]></kwd>
<kwd lng="en"><![CDATA[carbapenemases]]></kwd>
<kwd lng="en"><![CDATA[enterobacterias]]></kwd>
</kwd-group>
</article-meta>
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