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波兰耐氨基糖苷类药物肺炎克雷伯菌中质粒携带的 16S rRNA 甲基酶 ArmA。

Plasmid-borne 16S rRNA methylase ArmA in aminoglycoside-resistant Klebsiella pneumoniae in Poland.

机构信息

Department of Bacteriology, National Institute of Public Health - National Institute of Hygiene, Chocimska 24, 00-791 Warsaw, Poland.

Departamento de Sanidad Animal, Facultad de Veterinaria and VISAVET (Centro de Vigilancia Sanitaria Veterinaria), Universidad Complutense de Madrid, 28040 Madrid, Spain.

出版信息

J Med Microbiol. 2011 Sep;60(Pt 9):1306-1311. doi: 10.1099/jmm.0.024026-0. Epub 2011 Jan 20.

DOI:10.1099/jmm.0.024026-0
PMID:21252274
Abstract

We characterized 17 clinical isolates of Klebsiella pneumoniae producing 16S rRNA methylase ArmA. The isolates originated in Poland from 2002 to May 2010 and encompassed four XbaI-PFGE clusters. All the isolates were resistant to amikacin, gentamicin and kanamycin (MIC range: 256-1024 mg l(-1)) and carried the armA gene on a large plasmid of approximately 90 or 130 kb in 15 and 2 isolates, respectively. The armA gene was found in a ~10 kb ClaI restriction fragment of the large plasmid and was flanked by the same elements as in Tn1548. All the isolates carried the bla(CTX-M) gene for a CTX-M-type extended-spectrum β-lactamase. Our results show that ArmA has disseminated horizontally among K. pneumoniae isolates in Poland on the ~90 kb plasmid of the pCTX-M3 family.

摘要

我们对产生 16S rRNA 甲基化酶 ArmA 的 17 株肺炎克雷伯菌临床分离株进行了特征分析。这些分离株源自 2002 年至 2010 年 5 月期间的波兰,包含 4 个 XbaI-PFGE 聚类。所有分离株均对阿米卡星、庆大霉素和卡那霉素(MIC 范围:256-1024mg l(-1)))耐药,并且在 15 株和 2 株分离株中分别携带约 90 或 130kb 的大型质粒上的 armA 基因。armA 基因位于大型质粒的约 10kb ClaI 限制片段中,两侧是与 Tn1548 相同的元件。所有分离株均携带 bla(CTX-M)基因,用于 CTX-M 型超广谱β-内酰胺酶。我们的研究结果表明,在波兰,肺炎克雷伯菌分离株中 ArmA 已通过 pCTX-M3 家族的约 90kb 质粒在水平方向上传播。

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