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Updated: Aug 7, 2026

Quantification of Plasmid-Mediated Antibiotic Resistance in an Experimental Evolution Approach
Published on: December 14, 2019
Plasmid-mediated quinolone resistance in non-Typhi serotypes of Salmonella enterica
Kathryn Gay1, Ari Robicsek, Jacob Strahilevitz
1Atlanta Research and Education Foundation, Atlanta, GA, USA. kgay@cdc.gov
Background:
Serious infections with Salmonella species are often treated with fluoroquinolones or extended-spectrum beta-lactams. Increasingly recognized in Enterobacteriaceae, plasmid-mediated quinolone resistance is encoded by qnr genes. Here, we report the presence of qnr variants in human isolates of non-Typhi serotypes of Salmonella enterica (hereafter referred to as non-Typhi Salmonella) from the United States National Antimicrobial Resistance Monitoring System for Enteric Bacteria.
Methods:
All non-Typhi Salmonella specimens from the United States National Antimicrobial Resistance Monitoring System for Enteric Bacteria collected from 1996 to 2003 with ciprofloxacin minimum inhibitory concentrations > or = 0.06 microg/mL (233 specimens) and a subset with minimum inhibitory concentrations < or = 0.03 microg/mL (102 specimens) were screened for all known qnr genes (A, B, and S) by polymerase chain reaction. For isolates with positive results, qnr and quinolone resistance-determining region sequences were determined. Plasmids containing qnr genes were characterized by conjugation or transformation.
Results:
Conjugative plasmids harboring qnrB variants were detected in 7 Salmonella enterica serotype Berta isolates and 1 Salmonella enterica serotype Mbandaka isolate. The S. Mbandaka plasmid also had an extended-spectrum beta -lactamase. Variants of qnrS on nonconjugative plasmids were detected in isolates of Salmonella enterica serotype Anatum and Salmonella enterica serotype Bovismorbificans.
Conclusions:
Plasmid-mediated quinolone resistance appears to be widely distributed, though it is still uncommon in non-Typhi Salmonella isolates from the United States, including strains that are quinolone susceptible by the criteria of the Clinical and Laboratory Standards Institute (formerly the National Committee for Clinical Laboratory Standards). The presence of this gene in non-Typhi Salmonella that causes infection in humans suggests potential for spread through the food supply, which is a public health concern.
Insights
Plasmid-mediated quinolone resistance genes (qnr) were found in non-Typhi Salmonella human isolates in the US. This finding highlights the potential for spread through the food supply, posing a public health concern.
Area of Science:
- Microbiology
- Genetics
- Public Health
Background:
- Serious Salmonella infections are treated with fluoroquinolones or extended-spectrum beta-lactams.
- Plasmid-mediated quinolone resistance, encoded by qnr genes, is increasingly recognized in Enterobacteriaceae.
- This study investigated qnr variants in human non-Typhi Salmonella enterica isolates from the US.
Purpose of the Study:
- To identify and characterize qnr genes in non-Typhi Salmonella isolates from the United States National Antimicrobial Resistance Monitoring System for Enteric Bacteria.
- To assess the prevalence and distribution of plasmid-mediated quinolone resistance in these isolates.
Main Methods:
- Screening of 233 non-Typhi Salmonella isolates with elevated ciprofloxacin MICs and 102 susceptible isolates for qnr genes (A, B, S) using PCR.
- Sequencing of qnr and quinolone resistance-determining regions for positive isolates.
- Characterization of plasmids carrying qnr genes via conjugation or transformation.
Main Results:
- Conjugative plasmids with qnrB variants were found in Salmonella enterica serotypes Berta and Mbandaka.
- The S. Mbandaka isolate also harbored an extended-spectrum beta-lactamase.
- Nonconjugative plasmids with qnrS variants were detected in Salmonella enterica serotypes Anatum and Bovismorbificans.
Conclusions:
- Plasmid-mediated quinolone resistance is present, though uncommon, in US non-Typhi Salmonella isolates, even susceptible ones.
- The detection of qnr genes in human non-Typhi Salmonella suggests potential transmission via the food supply.
- This represents a significant public health concern requiring ongoing surveillance.
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