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Worldwide Diversity of Klebsiella pneumoniae That Produce β-Lactamase bla Gene

机译:产生β-内酰胺酶bla基因的肺炎克雷伯菌的全球多样性

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Klebsiella pneumoniae isolates that produce carbap-enemases (KPCs) are rapidly disseminating worldwide. To determine their genetic background, we investigated 16 blaKPC-2-harboring K. pneumoniae isolates from 5 coun-tries. The isolates were multidrug resistant, possessed the blaKPC-2gene, and differed by additional β-lactamase con-tent. They harbored a naturally chromosome-encoded bla gene (blaSHV-1[12.5%], blaSHV-11[68.7%], or blaOKP-A/B[18.8%]) and several acquired and plasmid-encoded genes (blaTEM-1[81.3%], blaCTX-M-2[31.3%], blaCTX-M-12[12.5%], blaCTX-M-15[18.7%], and blaOXA-9[37.5%]). The blaKPC-2gene was always associated with 1 of the Tn4401 isoforms (a, b, or c). Tn4401 was inserted on different-sized plasmids that belonged to different incompatibility groups. Several blaKPC-containing K. pneumoniae clones were found: 9 different pulsotypes with 1 major (sequence type 258) and 7 minor distinct al-lelic profi les. Different clones harboring different plasmids but having identical genetic structure, Tn4401, could be at the origin of the worldwide spread of this emerging resis-tance gene
机译:产生卡巴灌肠剂(KPC)的肺炎克雷伯菌分离株正在全球范围内迅速传播。为了确定其遗传背景,我们调查了来自5个国家的16株blaKPC-2携带肺炎克雷伯菌。分离株具有多药耐药性,具有blaKPC-2基因,并且与其他β-内酰胺酶含量不同。他们拥有一个天然的染色体编码的bla基因(blaSHV-1 [12.5%],blaSHV-11 [68.7%]或blaOKP-A / B [18.8%])和几个获得的质粒编码基因(blaTEM-1 [ 81.3%],blaCTX-M-2 [31.3%],blaCTX-M-12 [12.5%],blaCTX-M-15 [18.7%]和blaOXA-9 [37.5%]。 blaKPC-2基因始终与Tn4401亚型之一(a,b或c)相关。将Tn4401插入属于不同不相容性组的不同大小的质粒。发现了几个含有blaKPC的肺炎克雷伯菌克隆:9种不同的脉冲型,其中1种主要(序列类型258)和7种次要的不同唾液酸谱。携带不同质粒但具有相同遗传结构的不同克隆Tn4401可能是该新兴抗性基因在世界范围内传播的起点

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