Dissemination of multiple drug resistance genes by class 1 integrons in klebsiella pneumoniae isolates from four countries: a comparative study

A comparative genetic analysis of 42 clinical Klebsiella pneumoniae isolates, resistant to two or more antibiotics belonging to the broad-spectrum β-lactam group, sourced from Sydney, Australia, and three South American countries is presented. The study focuses on the genetic contexts of class 1 int...

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Autores:
Chowdhury, Piklu Roy
Ingold, Ana
Vanegas, Natasha
Martínez, Elena
Merlino, John
Merkier, Andrea Karina
Castro, Mercedes
González Rocha, Gerardo
Borthagaray, Graciela
Bello Toledo, Helia
Márquez, Carolina M.
Stokes, H. W.
Centrón, Daniela
Tipo de recurso:
Article of journal
Fecha de publicación:
2011
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/4260
Acceso en línea:
http://hdl.handle.net/20.500.12495/4260
https://dx.doi.org/10.1128%2FAAC.01529-10
https://repositorio.unbosque.edu.co
Palabra clave:
Farmacorresistencia bacteriana
Klebsiella pneumoniae
Factores R
Rights
openAccess
License
Acceso abierto
Description
Summary:A comparative genetic analysis of 42 clinical Klebsiella pneumoniae isolates, resistant to two or more antibiotics belonging to the broad-spectrum β-lactam group, sourced from Sydney, Australia, and three South American countries is presented. The study focuses on the genetic contexts of class 1 integrons, mobilizable genetic elements best known for their role in the rapid evolution of antibiotic resistance among Gram-negative pathogens. It was found that the class 1 integrons in this cohort were located in a number of different genetic contexts with clear regional differences. In Sydney, IS26-associated Tn21-like transposons on IncL/M plasmids contribute greatly to the dispersal of integron-associated multiple-drug-resistant (MDR) loci. In contrast, in the South American countries, Tn1696-like transposons on an IncA/C plasmid(s) appeared to be disseminating a characteristic MDR region. A range of mobile genetic elements is clearly being recruited by clinically important mobile class 1 integrons, and these elements appear to be becoming more common with time. This in turn is driving the evolution of complex and laterally mobile MDR units and may further complicate antibiotic therapy.