SAMJ: South African Medical Journal
On-line version ISSN 2078-5135
LOWMAN, W et al. NDM-1 has arrived: first report of a carbapenem resistance mechanism in South Africa. SAMJ, S. Afr. med. j. [online]. 2011, vol.101, n.12, pp. 873-875. ISSN 2078-5135.
The New Delhi Metallo-β-lactamase (NDM) resistance mechanism in Enterobacteriaceae threatens to render serious Gram-negative infections untreatable. The NDM-1 enzyme hydrolyses all available penicillin, cephalosporin and carbapenem antibiotics, and is commonly accompanied by additional resistance mechanisms to multiple antibiotic classes. Initially identified as a significant healthcare risk on the Indian sub-continent, it has rapidly become a global problem, posing significant diagnostic and management challenges. Here we report the first laboratory-confirmed case of NDM-1 in South Africa.