In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 7 ( 2021-7-28), p. e0231119-
Abstract:
Carbapenem-resistant Enterobacterales (CRE) represent a serious threat to public health due to the lack of treatment and high mortality. The rate of antimicrobial resistance of Enterobacterales isolates to major antimicrobials, including carbapenems, is much higher in Vietnam than in Western countries, but the reasons remain unknown due to the lack of genomic epidemiology research. A previous study suggested that carbapenem resistance genes, such as the carbapenemase gene bla NDM , spread via plasmids among Enterobacterales in Vietnam. In this study, we characterized bla NDM -carrying plasmids in Enterobacterales isolated in Vietnam, and identified several possible cases of horizontal transfer of plasmids both within and among species of bacteria. Twenty-five carbapenem-nonsusceptible isolates from a medical institution in Hanoi were sequenced on Illumina short-read sequencers, and 13 bla NDM -positive isolates, including isolates of Klebsiella pneumoniae , Escherichia coli , Citrobacter freundii , Morganella morganii , and Proteus mirabilis , were further sequenced on an Oxford Nanopore Technologies long-read sequencer to obtain complete plasmid sequences. Almost identical 73 kb IncFII(pSE11)::IncN hybrid plasmids carrying bla NDM-1 were found in a P . mirabilis isolate and an M . morganii isolate. A 112 kb IncFII(pRSB107)::IncN hybrid plasmid carrying bla NDM-1 in an E . coli isolate had partially identical sequences with a 39 kb IncR plasmid carrying bla NDM-1 and an 88 kb IncFII(pHN7A8)::IncN hybrid plasmid in a C . freundii isolate. 148–149 kb IncFIA(Hl1)::IncA/C2 plasmids and 75–76 kb IncFII(Yp) plasmids, both carrying bla NDM-1 were shared among three sequence type 11 (ST11) isolates and three ST395 isolates of K . pneumoniae , respectively. Most of the plasmids co-carried genes conferring resistance to clinically relevant antimicrobials, including third-generation cephalosporins, aminoglycosides, and fluoroquinolones, in addition to bla NDM-1 . These results provide insight into the genetic basis of CRE in Vietnam, and could help control nosocomial infections.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0231119
DOI:
10.1371/journal.pone.0231119.g001
DOI:
10.1371/journal.pone.0231119.g002
DOI:
10.1371/journal.pone.0231119.g003
DOI:
10.1371/journal.pone.0231119.g004
DOI:
10.1371/journal.pone.0231119.g005
DOI:
10.1371/journal.pone.0231119.s001
DOI:
10.1371/journal.pone.0231119.s002
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2267670-3
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