Characterization of Carbapenem-Resistant Gram-Negative Bacterial Isolates from Nigeria by Whole Genome Sequencing

Document Type

Article

Publication Date

4-26-2021

Publication Source

Diagnostic Microbiology and Infectious Disease

Abstract

This study characterized the mechanisms of carbapenem resistance in gram-negative bacteria isolated from patients in Yola, Nigeria. Whole genome sequencing (WGS) was performed on 66 isolates previously identified phenotypically as carbapenem-non–susceptible.

The patterns of beta-lactamase resistance genes identified were primarily species-specific. However, blaNDM-7 and blaCMY-4 were detected in all Escherichia coli and most Providencia rettgeri isolates; blaNDM-7 was also detected in 1 Enterobacter cloacae. The E. coli and E. cloacae isolates also shared blaOXA-1, while blaOXA-10 was found in all P. rettgeri, one Pseudomonas aeruginosa and 1 E. coli. Except for Stenotrophomonas maltophilia isolates, which only contained blaL1, most species carried multiple beta-lactamase genes, including those encoding extended-spectrum beta-lactamases, AmpC and OXA in addition to a carbapenemase gene. Carbapenemase genes were either class B or class D beta-lactamases. No carbapenemase gene was detected by WGS in 13.6% of isolates.

ISBN/ISSN

Print ISSN: 0732-8893; Online ISSN: 1879-0070

Document Version

Postprint

Comments

The accepted manuscript of this publication will be made available in compliance with the publisher’s policy on self-archiving. Permission documentation is on file.

Publisher

Elsevier

Volume

101

Peer Reviewed

yes

Issue

1

Keywords

Carbapenem resistance, Carbapenemase, Beta-lactamase


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