关键词: Cuba Guadeloupe NDM-1 carbapenemase metallo-β-lactamase

Mesh : Aged Anti-Bacterial Agents / pharmacology therapeutic use Bacterial Proteins / genetics Cuba Guadeloupe Humans Klebsiella Infections / diagnosis drug therapy microbiology Klebsiella pneumoniae / drug effects genetics isolation & purification Male Microbial Sensitivity Tests Plasmids / genetics isolation & purification Polymerase Chain Reaction Travel beta-Lactam Resistance / genetics beta-Lactamases / genetics beta-Lactams / pharmacology therapeutic use

来  源:   DOI:10.1016/j.ijid.2015.03.002   PDF(Sci-hub)

Abstract:
OBJECTIVE: Characterize a NDM-1 producing K. pneumoniae isolate recovered from a patient hospitalized in Guadeloupe, French West Indies, after its transfer from Cuba
METHODS: Antibiotic susceptibilities were determined by the disk diffusion method, and E-test. Carbapenemase production was assessed using the Carba NP test. Antibiotic resistance determinants and their surrounding structures were characterized by PCR mapping and DNA sequencing. Transfer of the β-lactam resistance marker was attempted by liquid mating-out assays
RESULTS: Here we reported the first NDM-1 producing enterobacterial isolate recovered from Caribbean islands. This K. pneumoniae isolate belongs to a new sequence type (ST1649). The blaNDM-1 gene together with the aacA4 gene were carried on a self conjugative IncR plasmid of c.a. 80kb.
CONCLUSIONS: This study describes the first identification of a NDM-1 producer in Caribbean islands. The uncommon incompatibility group of the blaNDM-1 carrying plasmid and the uncommon ST type of the K. pneumoniae strain suggest a possible local emergence of NDM producers.
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