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Microbiology Society, Journal of Medical Microbiology, 1(63), p. 86-89, 2014

DOI: 10.1099/jmm.0.067744-0

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Characteristics of community-onset NDM-1-producing Klebsiella pneumoniae isolates

Journal article published in 2014 by So Yeon Kim, Ji-Young Rhee, Kwan Soo Ko ORCID, Sang Yop Shin
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Multilocus sequence typing and in vitro antimicrobial susceptibility testing were performed for three community-onset New Delhi metallo-β-lactamase-1 (NDM-1)-producing Klebsiella pneumoniae isolates from Korea. The genetic structure surrounding the bla NDM-1 gene was determined in bla NDM-1-harbouring plasmids. Three NDM-1-producing K. pneumoniae isolates were found to belong to the same clone (sequence type 340). Each of these isolates showed the same genetic structure surrounding the bla NDM-1 gene. The genes bla NDM-1, ble MBL, trpF and dsbC were flanked by two intact insertion sequences, ISAba125 and IS26, which may promote horizontal gene transfer. The bla NDM-1-harbouring plasmids conferred antimicrobial resistance to carbapenems, cephalosporins, aminoglycosides and aztreonam in transconjugants. It can be speculated that either the entire bla NDM-1-harbouring plasmids or just the part of the plasmid containing the bla NDM-1 gene may have transferred between K. pneumoniae and Escherichia coli. Following the transfer, the isolate disseminated throughout Korea. This study suggests the need for monitoring the dissemination of NDM-1-producing isolates across countries or continents due to their potential transferability via ISAba125- and IS26-associated transposons.