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Draft Whole-Genome Sequence of VIM-1-Producing Multidrug-Resistant Enterobacter cloacae EC_38VIM1
Jennifer Villa1, Esther Viedma, Joaquín R Otero
1Servicio de Microbiología Clínica, Hospital Universitario 12 de Octubre, Madrid, Spain.
A multidrug-resistant Enterobacter cloacae strain producing VIM-1 metallo-β-lactamase was identified in a blood culture. This strain exhibited resistance to numerous antibiotics, highlighting a significant public health concern.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Multidrug-resistant bacteria pose a significant threat to public health.
- Enterobacter cloacae is an opportunistic pathogen frequently associated with hospital-acquired infections.
- The emergence of metallo-β-lactamases (MBLs) like VIM-1 contributes to resistance against a broad spectrum of β-lactam antibiotics.
Purpose of the Study:
- To characterize a multidrug-resistant Enterobacter cloacae strain isolated from a blood culture.
- To identify the genetic basis of antibiotic resistance in the isolated strain.
- To investigate the presence and location of resistance genes, particularly VIM-1.
Main Methods:
- Isolation and identification of Enterobacter cloacae from blood cultures.
- Phenotypic antibiotic susceptibility testing against a panel of clinically relevant antibiotics.
- Molecular analysis, including polymerase chain reaction (PCR) and sequencing, to detect and characterize antibiotic resistance genes.
- Investigation of gene location using integron analysis.
Main Results:
- A VIM-1-producing multidrug-resistant Enterobacter cloacae strain was successfully isolated.
- The strain demonstrated resistance to multiple antibiotic classes, including all tested β-lactams, fluoroquinolones, aminoglycosides, and sulfonamides.
- Sequence analysis confirmed the presence of 14 antibiotic resistance genes, including the VIM-1 gene.
- The VIM-1 gene was found to be located within a class 1 integron.
Conclusions:
- The identified Enterobacter cloacae strain represents a significant challenge due to its extensive multidrug resistance profile.
- The presence of the VIM-1 gene within a class 1 integron facilitates the potential spread of this resistance determinant.
- This finding underscores the importance of continuous surveillance and characterization of multidrug-resistant organisms in clinical settings.
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