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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Microbial Drug Resis...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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Coproduction of NDM-1 and KPC-2 in Enterobacter hormaechei from Brazil

Authors: Polyana Silva, Pereira; Mirla, Borghi; Rodolpho Mattos, Albano; Jonathan Christian Oliveira, Lopes; Melise Chaves, Silveira; Elizabeth Andrade, Marques; Jane Cleide Ribeiro, Oliveira; +2 Authors

Coproduction of NDM-1 and KPC-2 in Enterobacter hormaechei from Brazil

Abstract

The most important resistance mechanism against β-lactam drugs is the production of carbapenemases. In this study, we report the first identification of Klebsiella pneumoniae carbapenemase (KPC)-2 and New Delhi metallo-β-lactamase (NDM)-1 in Enterobacter hormaechei subps. oharae from Brazil. The detection of carbapenemases was done by phenotypic assays, PCR, and DNA sequencing, whereas the identification was performed by conventional techniques, sequencing of the 16S rDNA gene, and hsp60 -genotyping. Molecular typing was performed using pulsed-field gel electrophoresis, and antimicrobial susceptibility was surrogated by the Etest methodology. Using the whole genome sequencing approach, we searched for resistance genes, plasmid incompatibility group genes, and the genetic environment of bla NDM and bla KPC . The plasmid identification was done by restriction digests with the S1 nuclease followed by hybridization using digoxigenin labeled specific probes. The isolate was considered multiresistant, being susceptible to amikacin and polymyxin B. We observed the following resistance genes: bla CTX-M-15 , bla ACT-7 , bla TEM-1 , bla OXA-1 , aadA1 , aadA2 , strA , strB , aac(3)-II , qnrB1 , and aac(6′)-Ib-cr and incompatibility group plasmid genes IncA/C, IncHI2, and IncN. The bla KPC gene was found associated to the transposon Tn 4401 isoform b in plasmid with 50 kb (IncN) and bla NDM-1 was flanked by a truncated IS Aba125 and ble MBL in plasmid with 160 kb (IncA/C). This study showed the coproduction of two important carbapenemases (KPC-2 and NDM-1) associated with mobile genetic elements of worldwide epidemiological importance (Tn 4401 and IS Aba125 , respectively), reinforcing the idea that urgent measures are necessary to reduce and prevent the spreading of these carbapenemases primarily in the hospital settings.

Keywords

Adult, DNA, Bacterial, Genotype, Enterobacter, beta-Lactams, beta-Lactamases, Anti-Bacterial Agents, Klebsiella Infections, Klebsiella pneumoniae, Bacterial Proteins, Drug Resistance, Multiple, Bacterial, DNA Transposable Elements, Humans, Female, Amikacin, Brazil, Plasmids, Polymyxin B

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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
52
Top 10%
Top 10%
Top 10%
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