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Enfermedades infecciosas y microbiologia clinica (English ed )
Article . 2020 . Peer-reviewed
License: Elsevier TDM
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Enfermedades Infecciosas y Microbiología Clínica
Article . 2020 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Characterization of NDM-1- and CMH-3-producing Enterobacter cloacae complex ST932 in a patient transferred from Ukraine to Spain

Authors: López-Hernández, Inmaculada; García-Barrionuevo, Aurora; Díaz-de-Alba, Paula; Clavijo, Encarnación; Pascual, Álvaro;

Characterization of NDM-1- and CMH-3-producing Enterobacter cloacae complex ST932 in a patient transferred from Ukraine to Spain

Abstract

To characterize a carbapenem-resistant Enterobacter cloacae complex isolate recovered from a patient from Ukraine.The isolate was sent to a regional reference laboratory for molecular characterization by whole genome sequencing. Susceptibility assays, carbapenemase identification, imipenem hydrolysis and clonality were performed.The isolate showed resistance or reduced susceptibility to all β-lactam agents tested. Genome analysis led to the identification of an NDM-1-producing E. cloacae complex strain that was assigned to a new multilocus sequence type, ST932. The blaNDM-1 enzyme was located in a conjugative IncX3 plasmid of ca. 50kb. In addition, blaCMH-3, a recently described AmpC β-lactamase sequence, which has not previously been reported in Europe, was also detected and its genetic environment was studied.To our knowledge, this is the first reported case in Europe of an E. cloacae complex strain that produces both blaNDM-1 and blaCMH-3.

Keywords

E. cloacae complex, Spain, España, Enterobacter cloacae, Humans, CMH-3, Microbial Sensitivity Tests, NDM-1, Ukraine, beta-Lactamases, Anti-Bacterial Agents

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selected citations
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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).
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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!
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