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Genomic and Phenotypic Diversity of Carbapenemase-Producing Enterobacteriaceae Isolates from Bacteremia in China: A Multicenter Epidemiological, Microbiological, and Genetic Study 被引量:2
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作者 Beiwen Zheng Hao Xu +10 位作者 Lihua Guo Xiao Yu Jinru Ji Chaoqun Ying Yunbo Chen Ping Shen Huiming Han Chen Huang Shuntian Zhang Tao Lv Yonghong Xiao 《Engineering》 SCIE EI CAS 2022年第5期90-100,共11页
Carbapenemase-producing Enterobacteriaceae(CPE) isolates are recognized as one of the most severe threats to public health. However, the population structure and genetic characteristics of CPE isolates among bloodstre... Carbapenemase-producing Enterobacteriaceae(CPE) isolates are recognized as one of the most severe threats to public health. However, the population structure and genetic characteristics of CPE isolates among bloodstream infections(BSIs) are largely unknown. To address this knowledge gap, in this study,we included patients with clinically significant BSIs due to Enterobacterales isolates, recruited from 26 sentinel hospitals in China(2014–2015). CPE isolates were microbiologically and genomically characterized,including their susceptibility profiles, molecular typing, phylogenetic features, and genetic context analysis of carbapenemase-encoding genes. Of the 2569 BSI Enterobacterales isolates enrolled, 42(1.6%) were carbapenemase-positive. Moreover, among the 2242 investigated isolates, 1111(49.6%) extendedspectrum β-lactamase(ESBL)-producing isolates were identified in Escherichia coli(E. coli), Klebsiella pneumoniae(K. pneumoniae), Proteus mirabilis(P. mirabilis), and Klebsiella oxytoca. Whole genome sequencing analysis showed the clonal spread of K. pneumoniae carbapenemase(KPC)-2-producing K. pneumoniae sequence type(ST) 11 and New Delhi metallo-β-lactamase(NDM)-5-producing E. coli ST167 in our collection. Plasmid analysis revealed that carbapenemase-encoding genes were located on multiple plasmids. A high prevalence of biofilm-encoding type 3 fimbriae clusters and yesiniabactin-associated genes was observed in K. pneumoniae isolates. This work demonstrates the high prevalence of ESBLs and the wide dissemination of CPE among BSI isolates in China, which represent real clinical threats. Moreover, our findings first illustrate a more comprehensive genome scenario of CPE isolates among BSIs. The clonal spread of KPC-2-producing K. pneumoniae ST11 and NDM-5-producing E. coli ST167 needs to be closely monitored. 展开更多
关键词 CARBAPENEMASE Carbapenemase-producing ENTEROBACTERIACEAE plasmid-mediated China Extended-spectrum b-lactamase
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Genotypic Diversity and Characterization of Quinolone Resistant Determinants from Enterobacteriaceae in Yaoundé, Cameroon
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作者 Emilia Enjema Lyonga Mbamyah Michel Toukam +8 位作者 Marie-Claire Okomo Assoumou Anthony M. Smith Celine Nkenfou Hortense Kamga Gonsu Anicette Chafa Betbeui Martha Tongo Mesembe Agnes Bedie Eyoh George Mondinde Ikomey Sinata Koulla-Shiro 《Open Journal of Medical Microbiology》 2020年第2期33-45,共13页
<strong>Background:</strong> Enterobacteriaceae causes many types of infections which are often treated with quinolones and fluoroquinolone (Q/FQ). The resistance mechanisms to Q/FQ are usually associated ... <strong>Background:</strong> Enterobacteriaceae causes many types of infections which are often treated with quinolones and fluoroquinolone (Q/FQ). The resistance mechanisms to Q/FQ are usually associated with mutations in the quinolone resistance determining region which alter the conformation of target amino acid residues within the protein and in the <em>qnr</em> genes. This study aimed at determining the antimicrobial resistant profile of a sample of Enterobacteriaceae from Cameroon and the genetic diversity in quinolone-resistant isolates in view of implementing a better management, treatment, control and prevention of the transmission of these resistant strains. <strong>Methods:</strong> Identification and antimicrobial susceptibility testing was done using VITEK 2. The detection of plamid-mediated quinolone resistance (PMQR) genes was carried out using the conventional PCR method. Sequencing was done using the Applied Biosystem 3500 genetic analyser. DNA fingerprint was obtained using Pulsed-Field Gel electrophoresis. <strong>Results:</strong> Among 440 Enterobacteriaceae, the most prevalent genera were: <em>Escherichia</em> 178/440 (39.5%);<em>Klebsiella</em> 148/440 (33.6%);<em>Enterobacter </em>35/440 (8%);<em>Pantoea</em> 28/440 (6.4%);<em>Proteus</em> 14/440 (3.2%) <em>Salmonella </em>13/440 (3%). Ampicillin resistance showed the highest prevalence with 371/440 (81%) and Imipenem the lowest resistance 9/440 (2.1%). The ciprofloxacin resistance rate was 161/440 (36.6%). The detected plasmid mediated quinolone resistance (PMQR) genes were: <em>qnrA</em>, 2/161 (1.2%);<em>qnrB</em>, 31/161 (19.3%);<em>qnrS</em>, 13/161 (8.1%): <em>Aac</em> (6')<em>Ib-cr</em>, 84/161 (52.2%) and <em>qepA</em>, 3/161 (1.9%). There were several mutations in the <em>parC</em> gene of <em>Klebsiella</em> leading to S80D and S80N substitutions. Two pairs of <em>Klebsiella</em> <em>peumoniae</em> strains were phenotypically and genotypically identical with 100% similarity in the dendrogramme. <strong>Conclusion:</strong> This study showed that quinolone resistance was high. The PMQR genes contributing to this resistance were diverse. This high PMQR indicates that there has been an unknown circulation of these genes in our community. To avoid the rapid dissemination of these PMQR genes continuous surveillance of antimicrobial resistance should be carried out not only in humans but also in animals to monitor the evolution of these genes. 展开更多
关键词 ENTEROBACTERIACEAE Quinolone Resistance plasmid-mediated Quinolone Resistance qnr Genes
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Intercontinental spread and clonal expansion of ColRNA1 plasmid-bearing Salmonella Corvallis ST1541 strains:a genomic epidemiological study
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作者 Kaichao Chen Miaomiao Xie +2 位作者 Han Wang Edward Wai-Chi Chan Sheng Chen 《One Health Advances》 2023年第1期198-212,共15页
Salmonella Corvallis ST1541 has recently emerged as a globally disseminated pathogenic strain that often causes severe food-borne infections.Unlike most pandemic serotypes of Salmonella,the ST1541 strains harbored Col... Salmonella Corvallis ST1541 has recently emerged as a globally disseminated pathogenic strain that often causes severe food-borne infections.Unlike most pandemic serotypes of Salmonella,the ST1541 strains harbored ColRNA1 plasmids that contain qnr-like determinants known to be responsible for the increasing incidence of ciprofloxacin-resistant food-borne Salmonella infections.In this study,we conducted a genomic analysis of a global collection of 388 S.Corvallis ST1541 strains collected within a twenty-year period.We investigated the genetic characteristics of plasmid-mediated quinolone resistance(PMQR)plasmids harbored by these S.Corvallis strains,established a mini-mum spanning tree(MST)to determine the temporal and spatial distribution of the top 10 MST clusters,inferred a time-phylogenies for the major sub-lineages and traced the routes of international dissemination of this serotype strains.Bayesian algorithm predicted that UK might be the origin of S.Corvallis strains currently prevalent in various countries.This idea is supported by the observation of the emergence of intercontinental-disseminated clonal strains and extensive transmission of the extensive-drug resistance(XDR)-encoding plasmid pSA663.This study there-fore provides valuable insight into the evolution of globally transmitted S.Corvallis strains and suggests a need to strengthen cooperation between different countries to control the dissemination of these drug-resistant bacteria. 展开更多
关键词 Salmonella enterica serovar Corvallis Intercontinental spread plasmid-mediated quinolone resistance Animal food Phylodynamic analysis
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