Faculdade de Medicina de São José do Rio Preto, Av. Brigadeiro Faria Lima, 5416, São José do Rio Preto, SP 15090-000, Brazil; Hospital de Base de São José do Rio Preto, São José do Rio Preto, Brazil.
Hospital de Base de São José do Rio Preto, São José do Rio Preto, Brazil.
J Glob Antimicrob Resist. 2018 Jun;13:35-36. doi: 10.1016/j.jgar.2018.02.011. Epub 2018 Feb 21.
Klebsiella pneumoniae is considered an opportunistic pathogen and an important agent of nosocomial and community infections. It presents the ability to capture and harbour several antimicrobial resistance genes and, in this context, the extensive use of carbapenems to treat serious infections has been responsible for the selection of several resistance genes. This study reports the draft genome sequence of a KPC-2-producing K. pneumoniae strain (Kp10) simultaneously harbouring bla and bla genes isolated from urine culture of a patient with Parkinson's disease.
Classical microbiological methods were applied to isolate and identify the strain, and PCR and sequencing were used to identify and characterise the genes and the genetic environment. Whole-genome sequencing (WGS) was performed using a Nextera XT DNA library and a NextSeq platform.
WGS analysis revealed the presence of 5915 coding genes, 46 RNA-encoding genes and 255 pseudogenes. Kp10 belonged to sequence type 340 (ST340) of clonal complex 258 (CC258) and carried 20 transferable genes associated with antimicrobial resistance, comprising seven drug classes. Although the simultaneous presence of different bla genes in the same strain is rarely reported, the bla, bla and bla genes were not associated with the same genetic mobile structure in Kp10.
These results confirm the capacity of K. pneumoniae to harbour several antimicrobial resistance genes. Thus, this draft genome could help in future epidemiological studies regarding the dissemination of clinically relevant resistance genes.
肺炎克雷伯菌被认为是一种机会性病原体,也是医院和社区感染的重要病原体。它具有捕获和携带多种抗菌药物耐药基因的能力,在这种情况下,广泛使用碳青霉烯类药物治疗严重感染导致了几种耐药基因的选择。本研究报告了一株同时携带 bla 和 bla 基因的产 KPC-2 肺炎克雷伯菌(Kp10)的基因组序列草案,这些基因是从一位帕金森病患者的尿液培养物中分离出来的。
应用经典的微生物学方法分离和鉴定菌株,采用 PCR 和测序技术鉴定和分析基因和遗传环境。使用 Nextera XT DNA 文库和 NextSeq 平台进行全基因组测序(WGS)。
WGS 分析显示该菌有 5915 个编码基因、46 个 RNA 编码基因和 255 个假基因。Kp10 属于克隆复合体 258(CC258)的 340 型(ST340),携带 20 个与抗菌药物耐药相关的可转移基因,包括 7 个药物类别。虽然同一菌株中同时存在不同的 bla 基因很少见,但 bla、bla 和 bla 基因在 Kp10 中并不与同一遗传移动结构相关。
这些结果证实了肺炎克雷伯菌能够携带多种抗菌药物耐药基因。因此,该基因组草案有助于未来关于临床相关耐药基因传播的流行病学研究。