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Community acquisition of ESBL-producing Escherichia coli: a growing concern

Justin T Denholm, Michael Huysmans and Denis Spelman
Med J Aust 2009; 190 (1): . || doi: 10.5694/j.1326-5377.2009.tb02266.x
Published online: 5 January 2009

To the Editor: Extended-spectrum-β-lactamases (ESBLs) are enzymes capable of hydrolysing penicillins, broad-spectrum cephalosporins and monobactams. Worldwide, ESBL-producing organisms are posing an increasing challenge for empirical antibiotic use and infection control.


  • Alfred Hospital, Melbourne, VIC.


Correspondence: j.denholm@alfred.org.au

  • 1. Pitout JD, Laupland KB. Extended-spectrum beta-lactamase-producing Enterobacteriaceae: an emerging public-health concern. Lancet Infect Dis 2008; 8: 159-166.
  • 2. Melzer M, Petersen I. Mortality following bacteraemic infection caused by extended spectrum beta-lactamase (ESBL) producing E. coli compared to non-ESBL producing E. coli. J Infect 2007; 55: 254-259.
  • 3. Kang C-I, Cheong HS, Chung DR, et al. Clinical features and outcome of community-onset bloodstream infections caused by extended-spectrum beta-lactamase-producing Escherichia coli. Eur J Clin Microbiol Infect Dis 2008; 27: 85-88.
  • 4. Paterson DL, Bonomo RA. Extended-spectrum beta-lactamases: a clinical update. Clin Microbiol Rev 2005; 18: 657-686.
  • 5. Pearson J, Turnidge J, Franklin C, Bell J; Australian Group on Antimicrobial Resistance. Prevalence of antimicrobial resistances in common pathogenic Enterobacteriaceae in Australia, 2004: report from the Australian Group on Antimicrobial Resistance. Commun Dis Intell 2007; 31: 106-112.

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