Emergence of carbapenem resistant Escherichia coli isolates producing blaNDM and blaOXA-48-like carried on IncA/C and IncL/M plasmids at two Iranian university hospitals

作者: Hamid Solgi , Christian G. Giske , Farzad Badmasti , Shadi Aghamohammad , Seyed Asghar Havaei

DOI: 10.1016/J.MEEGID.2017.10.003

关键词: PlasmidGenetic diversityRepliconMultilocus sequence typingErtapenemEscherichia coliBiologyPulsed-field gel electrophoresisMicrobiologyVirologyTyping

摘要: The emergence of carbapenem resistance among Escherichia coli is a serious threat to public health. objective this study was investigate genes and clonality resistant E. in Iran. Between February 2015 July 2016, total 32 non-duplicate isolates that were ertapenem or intermediate (R/I-ETP) collected from patient clinical surveillance cultures (rectal swabs) at two university hospitals. Resistance identified by PCR sequencing. Conjugation experiments, PCR-based replicon typing, PFGE multilocus sequence typing (MLST) performed. assays showed, the isolates, twenty-nine strains produced carbapenemase genes. predominant blaOXA-48 (82.8%), followed blaNDM-1 (31%), blaNDM-7 (6.9%) blaOXA-181 (3.4%). Seven blaNDM positive co-harbored carbapenemases. found IncA/C IncL/M conjugative plasmids, respectively. blaCTX-M-15, qnrA intI1 also present most isolates. revealed genetic diversity 28 which belonged six minor clusters 14 singletons. 26 distributed into 18 STs, dominant (ST648 ST167). We one blaNDM-1-positive ST131 harbor blaCTX-M-15 blaTEM Horizontal transfer plasmids has likely facilitated spread coli. Their clonal presence faecal carriers suggest an endemic OXA-48 NDM. Therefore, it emphasizes critical importance monitoring controlling

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