Plasmid Carrying bla CTX-M-15, bla PER-1, and bla TEM-1 Genes in Citrobacter spp. From Regional Hospital in Mexico
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Published on: May 30, 2017
Cindy Negrete-González1,2, Edgar Turrubiartes-Martínez2,3, Miriam Briano-Macias2
1Laboratorio de Genética, Facultad de Ciencias Químicas, Universidad Autónoma de San Luis Potosí, San Luis Potosí, San Luis Potosí, México.
Introduction:
Citrobacter spp. is an opportunistic bacteria that have been recognized as significant pathogens in patients with underlying diseases or immunocompromised status. The aim of this study was to identify extended-spectrum β-lactamases in clinical isolates of Citrobacter spp.
Methods:
This cross-sectional study was conducted at Hospital Central "Dr. Ignacio Morones Prieto" in San Luis Potosi, Mexico. Nineteen isolates of Citrobacter spp. were obtained from clinical specimens between April to December 2015. Four isolates were resistant to third-generation cephalosporins. The presence of genes encoding ESBL (bla CTX-M-15, bla TEM-1, bla VEB-1, bla SHV, and bla PER-1) was analyzed by PCR. For this purpose, plasmid DNA was extracted and horizontally transferred to recipient E. coli Top 10.
Results:
bla CTX-M-15 and bla VEB-1 genes were detected in Citrobacter freundii and Citrobacter sedlakii, whereas bla PER-1 gene was identified in 1 isolate of Citrobacter freundii. In contrast, bla SHV gene was not detected in any isolate. One strain carried bla CTX-M-15, bla TEM-1, bla VEB-1, and bla PER-1 genes, most in a 275-kb plasmid.
Conclusion:
This study shows the presence of different types of ESBL in clinical isolates of Citrobacter freundii and Citrobacter sedlakii, which confer resistance to broad-spectrum β-lactams. The plasmid identified in this study harboring ESBL genes could play an important role in the dissemination of antibiotic resistance.
Insights
Extended-spectrum β-lactamases (ESBLs) were identified in clinical Citrobacter isolates. These ESBL genes, found on a plasmid, contribute to resistance against broad-spectrum antibiotics.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Biology
Background:
- Citrobacter spp. are opportunistic pathogens affecting immunocompromised individuals.
- Identifying extended-spectrum β-lactamases (ESBLs) in clinical isolates is crucial for understanding antibiotic resistance.
Purpose of the Study:
- To identify ESBL genes in clinical isolates of Citrobacter spp.
- To characterize the genetic basis of resistance in these opportunistic pathogens.
Main Methods:
- A cross-sectional study of 19 Citrobacter spp. isolates from clinical specimens.
- Polymerase Chain Reaction (PCR) was used to detect ESBL genes (blaCTX-M-15, blaTEM-1, blaVEB-1, blaSHV, blaPER-1).
- Plasmid DNA was extracted and transferred to E. coli for further analysis.
Main Results:
- blaCTX-M-15 and blaVEB-1 genes were detected in Citrobacter freundii and Citrobacter sedlakii.
- blaPER-1 was found in one Citrobacter freundii isolate.
- One strain harbored multiple ESBL genes (blaCTX-M-15, blaTEM-1, blaVEB-1, blaPER-1) on a large plasmid.
Conclusions:
- Clinical Citrobacter isolates harbor diverse ESBLs, conferring resistance to broad-spectrum β-lactams.
- The identified plasmid carrying ESBL genes may facilitate the spread of antibiotic resistance.
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