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Published on: January 5, 2024
Molecular epidemiology of NDM-1-producing Enterobacteriaceae and Acinetobacter baumannii isolates from Pakistan
Anna L Sartor1, Muhammad W Raza2, Shahid A Abbasi3
1University of Queensland, UQ Centre for Clinical Research, Herston, Queensland, Australia anna.sartor22@gmail.com.
Abstract:
The molecular epidemiology of 66 NDM-producing isolates from 2 Pakistani hospitals was investigated, with their genetic relatedness determined using repetitive sequence-based PCR (Rep-PCR). PCR-based replicon typing and screening for antibiotic resistance genes encoding carbapenemases, other β-lactamases, and 16S methylases were also performed. Rep-PCR suggested a clonal spread of Enterobacter cloacae and Escherichia coli. A number of plasmid replicon types were identified, with the incompatibility A/C group (IncA/C) being the most common (78%). 16S methylase-encoding genes were coharbored in 81% of NDM-producing Enterobacteriaceae.
Insights
Molecular epidemiology revealed clonal spread of NDM-producing Enterobacteriaceae in Pakistani hospitals. Most isolates harbored the IncA/C plasmid group and 16S methylase genes, indicating significant resistance threats.
Area of Science:
- Molecular biology
- Epidemiology
- Antimicrobial resistance
Background:
- The rise of carbapenemase-producing Enterobacteriaceae (CPE) is a global health concern.
- New Delhi metallo-β-lactamase (NDM) is a significant carbapenemase, contributing to antimicrobial resistance.
Purpose of the Study:
- To investigate the molecular epidemiology of NDM-producing isolates from Pakistani hospitals.
- To determine the genetic relatedness and identify resistance mechanisms in these isolates.
Main Methods:
- Repetitive sequence-based PCR (Rep-PCR) for genetic relatedness.
- PCR-based replicon typing for plasmid analysis.
- Screening for antibiotic resistance genes, including carbapenemases and 16S methylases.
Main Results:
- Rep-PCR indicated clonal spread of Enterobacter cloacae and Escherichia coli.
- The IncA/C plasmid group was the most prevalent (78%).
- 16S methylase-encoding genes were found in 81% of NDM-producing Enterobacteriaceae.
Conclusions:
- Clonal dissemination of NDM-producing E. cloacae and E. coli is occurring in Pakistani hospitals.
- Co-harboring of 16S methylase genes on IncA/C plasmids contributes to the spread of multidrug resistance.
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