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Enterobacter cloacae Complex Isolates Harboring blaNMC-A or blaIMI-Type Class A Carbapenemase Genes on Novel Chromosomal Integrative Elements and Plasmids.


ABSTRACT: Carbapenem-resistant Enterobacter cloacae complex isolates submitted to a reference laboratory from 2010 to 2015 were screened by PCR for seven common carbapenemase gene groups, namely, KPC, NDM, OXA-48, VIM, IMP, GES, and NMC-A/IMI. Nineteen of the submitted isolates (1.7%) were found to harbor Ambler class A blaNMC-A or blaIMI-type carbapenemases. All 19 isolates were resistant to at least one carbapenem but susceptible to aminoglycosides, trimethoprim-sulfamethoxazole, tigecycline, and ciprofloxacin. Most isolates (17/19) gave positive results with the Carba-NP test for phenotypic carbapenemase detection. Isolates were genetically diverse by pulsed-field gel electrophoresis macrorestriction analysis, multilocus sequence typing, and hsp60 gene analysis. The genes were found in various Enterobacter cloacae complex species; however, blaNMC-A was highly associated with Enterobacter ludwigii Whole-genome sequencing and bioinformatics analysis revealed that all NMC-A (n = 10), IMI-1 (n = 5), and IMI-9 (n = 2) producers harbored the carbapenemase gene on EludIMEX-1-like integrative mobile elements (EcloIMEXs) located in the identical chromosomal locus. Two novel genes, blaIMI-5 and blaIMI-6, were harbored on different IncFII-type plasmids. Enterobacter cloacae complex isolates harboring blaNMC-A/IMI-type carbapenemases are relatively rare in Canada. Though mostly found integrated into the chromosome, some variants are located on plasmids that may enhance their mobility potential.

SUBMITTER: Boyd DA 

PROVIDER: S-EPMC5404547 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Enterobacter cloacae Complex Isolates Harboring <i>bla</i><sub>NMC-A</sub> or <i>bla</i><sub>IMI</sub>-Type Class A Carbapenemase Genes on Novel Chromosomal Integrative Elements and Plasmids.

Boyd David A DA   Mataseje Laura F LF   Davidson Ross R   Delport Johannes A JA   Fuller Jeff J   Hoang Linda L   Lefebvre Brigitte B   Levett Paul N PN   Roscoe Diane L DL   Willey Barbara M BM   Mulvey Michael R MR  

Antimicrobial agents and chemotherapy 20170424 5


Carbapenem-resistant <i>Enterobacter cloacae</i> complex isolates submitted to a reference laboratory from 2010 to 2015 were screened by PCR for seven common carbapenemase gene groups, namely, KPC, NDM, OXA-48, VIM, IMP, GES, and NMC-A/IMI. Nineteen of the submitted isolates (1.7%) were found to harbor Ambler class A <i>bla</i><sub>NMC-A</sub> or <i>bla</i><sub>IMI</sub>-type carbapenemases. All 19 isolates were resistant to at least one carbapenem but susceptible to aminoglycosides, trimethopri  ...[more]

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