Emergence and clonal dissemination of KPC-3-producing Pseudomonas aeruginosa in China with an IncP-2 megaplasmid.
In: Annals of clinical microbiology and antimicrobials, Jg. 22 (2023-04-29), Heft 1, S. 31
Online
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Zugriff:
Background: Despite the global prevalence of Klebsiella pneumoniae Carbapenemase (KPC)-type class A β-lactamases, occurrences of KPC-3-producing isolates in China remain infrequent. This study aims to explore the emergence, antibiotic resistance profiles, and plasmid characteristics of bla KPC-3 -carrying Pseudomonas aeruginosa.
Methods: Species identification was performed by MALDI-TOF-MS, and antimicrobial resistance genes (ARGs) were identified by polymerase chain reaction (PCR). The characteristics of the target strain were detected by whole-genome sequencing (WGS) and antimicrobial susceptibility testing (AST). Plasmids were analyzed by S1-nuclease pulsed-field gel electrophoresis(S1-PFGE), Southern blotting and transconjugation experiment.
Results: Five P. aeruginosa strains carrying bla KPC-3 were isolated from two Chinese patients without a history of travelling to endemic areas. All strains belonged to the novel sequence type ST1076. The bla KPC-3 was carried on a 395-kb IncP-2 megaplasmid with a conserved structure (IS6100-ISKpn27-bla KPC-3 -ISKpn6-korC-klcA), and this genetic sequence was identical to many plasmid-encoded KPC of Pseudomonas species. By further analyzing the genetic context, it was supposed that the original of bla KPC-3 in our work was a series of mutation of bla KPC-2 .
Conclusions: The emergence of a multidrug resistance IncP-2 megaplasmid and clonal transmission of bla KPC-3 -producing P. aeruginosa in China underlined the crucial need for continuous monitoring of bla KPC-3 for prevention and control of its further dissemination in China.
(© 2023. The Author(s).)
Titel: |
Emergence and clonal dissemination of KPC-3-producing Pseudomonas aeruginosa in China with an IncP-2 megaplasmid.
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Autor/in / Beteiligte Person: | Ge, H ; Qiao, J ; Zheng, J ; Xu, H ; Liu, R ; Zhao, J ; Chen, R ; Li, C ; Guo, X ; Zheng, B |
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Zeitschrift: | Annals of clinical microbiology and antimicrobials, Jg. 22 (2023-04-29), Heft 1, S. 31 |
Veröffentlichung: | London : BioMed Central, [2002]-, 2023 |
Medientyp: | academicJournal |
ISSN: | 1476-0711 (electronic) |
DOI: | 10.1186/s12941-023-00577-z |
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