RT Journal Article T1 Biofilm formation by multidrug resistant Enterobacteriaceae strains isolated from solid organ transplant recipients. A1 Ramos-Vivas, José A1 Chapartegui-González, Itziar A1 Fernández-Martínez, Marta A1 González-Rico, Claudia A1 Fortún, Jesús A1 Escudero, Rosa A1 Marco, Francesc A1 Linares, Laura A1 Montejo, Miguel A1 Aranzamendi, Maitane A1 Muñoz, Patricia A1 Valerio, Maricela A1 Aguado, Jose María A1 Resino, Elena A1 Ahufinger, Irene Gracia A1 Vega, Aurora Paz A1 Martínez-Martínez, Luis A1 Fariñas, María Carmen A1 ENTHERE Study Group, the Group for Study of Infection in Transplantation of the Spanish Society of Infectious Diseases and Clinical Microbiology (GESITRA-SEIMC) and the Spanish Network for Research in Infectious Diseases (REIPI) AB Solid organ transplant (SOT) recipients are especially at risk of developing infections by multidrug resistant bacteria (MDR). In this study, the biofilm-forming capability of 209 MDR strains (Escherichia coli n = 106, Klebsiella pneumoniae n = 78, and Enterobacter spp. n = 25) isolated from rectal swabs in the first 48 hours before or after kidney (93 patients), liver (60 patients) or kidney/pancreas transplants (5 patients) were evaluated by using a microplate assay. Thirty-nine strains were isolated before transplant and 170 strains were isolated post-transplant. Overall, 16% of E. coli strains, 73% of K. pneumoniae strains and 4% Enterobacter strains showed moderate or strong biofilm production. Nine strains isolated from infection sites after transplantation were responsible of infections in the first month. Of these, 4 K. pneumoniae, 1 E. coli and 1 Enterobacter spp. strains isolated pre-transplant or post-transplant as colonizers caused infections in the post-transplant period. Our results suggest that in vitro biofilm formation could be an important factor for adhesion to intestine and colonization in MDR K. pneumoniae strains in SOT recipients, but this factor appears to be less important for MDR E. coli and Enterobacter spp. YR 2019 FD 2019-06-20 LK http://hdl.handle.net/10668/14153 UL http://hdl.handle.net/10668/14153 LA en DS RISalud RD Apr 7, 2025