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.

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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