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Wiley, New Microbes and New Infections, (9), p. 58-62, 2016

DOI: 10.1016/j.nmni.2015.11.012

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Identification of emergent blaCMY-2-carrying Proteus mirabilis lineages by whole-genome sequencing

Journal article published in 2015 by Micheál Mac Aogáin, M. Mac Aogáin ORCID, Thomas R. Rogers, Brendan Crowley
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Whole-genome sequencing of 24 Proteus mirabilis isolates revealed the clonal expansion of two cefoxitin-resistant strains among patients suffering community-onset infection. These strains harboured blaCMY-2 within a chromosomally located integrative and conjugative element (ICE) and exhibited multidrug resistance phenotypes. A predominant strain, identified in 18 patients, also harboured the PGI-1 genomic island and associated resistance genes, accounting for its broader antibiotic resistance profile. The identification of these novel multidrug-resistant strains among community-onset infections suggests that they are endemic to this region and represent emergent P. mirabilis lineages of clinical significance.