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Unusual expression of new low-level-trimethoprim-resistance plasmids

Insights

Trimethoprim resistance transfer in Enterobacteriaceae is higher than previously thought. Complex media components like methionine, glycine, and purines can mask this resistance transfer.

Area of Science:

  • Microbiology
  • Genetics
  • Antimicrobial Resistance

Background:

  • Trimethoprim resistance is a growing concern in clinical Enterobacteriaceae.
  • Understanding resistance transfer mechanisms is crucial for effective treatment strategies.

Purpose of the Study:

  • To quantify trimethoprim resistance transfer in clinical Enterobacteriaceae.
  • To investigate the influence of media composition on resistance expression.

Main Methods:

  • Clinical Enterobacteriaceae isolates were tested for trimethoprim resistance transfer to Escherichia coli.
  • Transfer experiments were conducted using both complex and minimal bacteriological media.

Main Results:

  • 42% of resistant Enterobacteriaceae transferred resistance on complex media.
  • An additional 16% transferred resistance on minimal media.
  • Specific media components (methionine, glycine, purines) reduced resistance expression.

Conclusions:

  • The prevalence of trimethoprim resistance transfer in Enterobacteriaceae is significant.
  • Media composition critically affects the detection and expression of trimethoprim resistance.

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