4.7 Article

NDM-5 and OXA-181 Beta-Lactamases, a Significant Threat Continues To Spread in the Americas

Journal

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY
Volume 61, Issue 7, Pages -

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.00454-17

Keywords

NDM-5; OXA-181; Klebsiella pneumoniae

Funding

  1. National Institute of Allergy and Infectious Diseases of the National Institutes of Health [R01AI100560, R01AI063517, R01AI072219, UM1AI104681, R21AI114508, U19AI110819]
  2. Cleveland Department of Veterans Affairs from the Biomedical Laboratory Research & Development Service of the VA Office of Research and Development [1I01BX001974]
  3. Geriatric Research Education and Clinical Center VISN 10
  4. Clinical and Translational Science Collaborative of Cleveland [UL1TR000439]

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Among Gram-negative bacteria, carbapenem-resistant infections pose a serious and life-threatening challenge. Here, the CRACKLE network reports a sentinel detection and characterization of a carbapenem-resistant Klebsiella pneumoniae ST147 isolate harboring bla(NDM-5) and bla(OXA-181) from a young man who underwent abdominal surgery in India. bla(NDM-5) was located on an IncFII plasmid of approximate to 90 kb, whereas bla(OXA-181) was chromosomally encoded. Resistome and genome analysis demonstrated multiple copies of the transposable element IS26 and a hot-spot region in the IncFII plasmid.

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