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Characterization of a novel Klebsiella pneumoniae sequence type 476 carrying both bla (KPC-2) and bla (IMP-4)

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单位: [1]Huazhong Univ Sci & Technol, Dept Lab Med, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Hubei, Peoples R China
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Carbapenemase-producing Klebsiella pneumoniae has recently spread rapidly throughout China. In this study, we characterized a carbapenem-resistant K. pneumoniae isolate that produced both KPC-2 and IMP-4 type carbapenemases. A clinical isolate of K. pneumoniae, resistant to both meropenem and imipenem, was recovered from a urine sample. Antibiotic susceptibility was determined using the broth microdilution method and Etest (bioM,rieux, France). Pulsed-field gel electrophoresis and multilocus sequence typing (MLST) were used for gene type analysis. bla (KPC) and the encoding genes of ESBLs and plasmid-mediated AmpC enzymes were polymerase chain reaction (PCR) amplified and sequenced. Plasmids were analyzed by transformation, enzyme restriction and Southern blot. PCR analysis revealed that the isolate was simultaneously carrying bla (KPC-2), bla (IMP-4), bla (TEM-1), and bla (OKP-B) genes. MLST assigned the isolate to a novel sequence type, ST476. bla (KPC-2)-harbouring plasmids of the isolate and comparative strains had similar EcoRI and HindIII restriction maps, while IMP-4-harbouring plasmids had variable HindIII restriction maps. Coexistence of bla (KPC-2) and bla (IMP-4) was probably due to bla (IMP-4)-harbouring plasmid transmission into KPC-2-producing K. pneumoniae (ST476). The concomitant presence of these genes is alarming and poses both therapeutic and infection control problems.

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基金编号: 2009ZX10004-107

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出版当年[2011]版:
大类 | 3 区 医学
小类 | 3 区 传染病学 3 区 微生物学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 传染病学 3 区 微生物学
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出版当年[2010]版:
Q2 MICROBIOLOGY Q2 INFECTIOUS DISEASES
最新[2023]版:
Q2 INFECTIOUS DISEASES Q2 MICROBIOLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol, Dept Lab Med, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Hubei, Peoples R China
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