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B. fragilis

B. fragilis

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Use of MALDI-TOF MS to distinguish cfiApositive<br />

and cfiA-negative B. <strong>fragilis</strong> strains<br />

(typing of B. <strong>fragilis</strong>)<br />

Carbapenem resistance in B. <strong>fragilis</strong> is due in most cases to the<br />

presence of the cfiA gene and its expression (IS elements are<br />

needed in the promoter region)<br />

This metallo-beta-lactamase confers resistance to all betalactam<br />

antibiotics<br />

Only B. <strong>fragilis</strong> strains belonging in Division II harbor the cfiA<br />

gene<br />

Different studies indicate an increased resistance of B. <strong>fragilis</strong><br />

to carbapenems and an increased frequency of silent harboring<br />

of the gene<br />

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