Pagano Mariana, Rozales Franciéli P, Bertolini Diego, Rocha Lisiane, Sampaio Jorge Lm, Barth Afonso L, Martins Andreza F
Universidade Federal do Rio Grande do Sul, Faculdade de Farmácia, Programa de Pós-Graduação em Ciências Farmacêuticas, Porto Alegre, RS, Brasil.
Hospital de Clínicas de Porto Alegre, Centro de Pesquisa Experimental, Laboratório de Pesquisa em Resistência Bacteriana, Porto Alegre, RS, Brasil.
Mem Inst Oswaldo Cruz. 2016 Sep;111(9):597-8. doi: 10.1590/0074-02760160188.
Over the last decade, Acinetobacter baumannii resistant to carbapenems has emerged in many medical centres and has been commonly associated with high morbimortality. In Brazil, this resistance is mainly attributed to the spread of OXA-23-producing clones and, to a lesser extent, to OXA-143-producing clones. Here, we describe, for the first time, two OXA-72-producing A. baumannii isolates in southern Brazil to a broad spectrum of antibiotics, except polymyxin B and tigecycline. Molecular typing by multilocus sequence typing (MLST) demonstrated that both OXA-72-producing isolates belong to a new sequence type (ST), ST730, which was recently identified in OXA-23-producing A. baumannii isolates in São Paulo, Brazil. We demonstrate that the two A. baumannii ST730 isolates carrying blaOXA-72share a common ancestral origin with the blaOXA-23producers in Brazil. This observation reinforces the importance of strain-typing methods in order to clarify the dynamics of the emergence of new clones in a geographic region.
在过去十年中,耐碳青霉烯类鲍曼不动杆菌已在许多医疗中心出现,并通常与高病死率相关。在巴西,这种耐药性主要归因于产OXA-23克隆的传播,在较小程度上归因于产OXA-143克隆的传播。在此,我们首次描述了巴西南部两株产OXA-72的鲍曼不动杆菌分离株,它们对除多粘菌素B和替加环素之外的多种抗生素耐药。通过多位点序列分型(MLST)进行分子分型表明,这两株产OXA-72的分离株均属于一种新的序列类型(ST),即ST730,该类型最近在巴西圣保罗产OXA-23的鲍曼不动杆菌分离株中被鉴定出来。我们证明,这两株携带blaOXA-72的鲍曼不动杆菌ST730分离株与巴西产blaOXA-23的菌株有着共同的祖先起源。这一观察结果强化了菌株分型方法对于阐明某一地理区域新克隆出现动态的重要性。