Department of Infectious Diseases, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China.
Department of Clinical Laboratory, Jinhu Central Hospital, Jinhua, Zhejiang 321000, China.
J Glob Antimicrob Resist. 2020 Sep;22:700-702. doi: 10.1016/j.jgar.2020.06.027. Epub 2020 Jul 7.
Escherichia coli sequence type 131 (ST131) is an international multiresistant high-risk clone associated with a large number of clinical infections. Here we report the draft genome sequence of a ST131 clinical isolate (EC538) obtained from a patient with bloodstream infection (BSI) in China co-harbouring the bla, bla, bla, qnrS1, aac(3)-IIa and aac(6')-Ib-cr genes.
Antimicrobial susceptibility testing of E. coli EC538 was performed. DNA of E. coli EC538 was extracted and was sequenced using an Illumina HiSeq X Ten platform. Generated sequence reads were assembled using CLC Genomics Workbench. Contigs were annotated using Rapid Annotation using Subsystem Technology (RAST), and further bioinformatics analyses were performed.
The total number of assembled bases was 5 420 040bp, with 5611 protein-coding sequences. Escherichia coli EC538 belongs to ST131 by multilocus sequence typing (MLST). The presence of bla, bla and bla genes was detected in addition to other antimicrobial resistance genes conferring resistance to fluoroquinolones, aminoglycosides, trimethoprim, sulfonamides, tetracyclines, macrolides and rifampicin.
To our knowledge, this is the first report of an E. coli ST131 strain from a BSI co-harbouring bla, bla, bla, qnrS1, aac(3)-IIa and aac(6')-Ib-cr genes in China. The presented genome sequence of a carbapenemase-producing E. coli ST131 strain could provide further insight into the genomic diversity of this highly virulent, multiresistant and successfully pandemic bacterial pathogen.
大肠杆菌序列类型 131(ST131)是一种国际多药耐药的高危克隆,与大量临床感染有关。本研究报告了一株来自中国血流感染(BSI)患者的 ST131 临床分离株(EC538)的基因组草图序列,该患者同时携带 blaCTX-M-15、blaTEM-1、blaDHA-1、qnrS1、aac(3)-IIa 和 aac(6')-Ib-cr 基因。
对大肠杆菌 EC538 的药敏试验进行了检测。提取 EC538 的 DNA,使用 Illumina HiSeq X Ten 平台进行测序。使用 CLC Genomics Workbench 对生成的序列进行组装。使用 Rapid Annotation using Subsystem Technology(RAST)对 contigs 进行注释,并进一步进行生物信息学分析。
组装的碱基总数为 5420040bp,包含 5611 个蛋白编码序列。通过多位点序列分型(MLST),大肠杆菌 EC538 属于 ST131。此外,还检测到 blaCTX-M-15、blaTEM-1 和 blaDHA-1 基因的存在,以及其他赋予对氟喹诺酮类、氨基糖苷类、甲氧苄啶、磺胺类、四环素类、大环内酯类和利福平耐药性的抗菌药物耐药基因。
据我们所知,这是中国首例报告的 ST131 型大肠杆菌血流感染株,同时携带 blaCTX-M-15、blaTEM-1、blaDHA-1、qnrS1、aac(3)-IIa 和 aac(6')-Ib-cr 基因。本研究中呈现的产碳青霉烯酶大肠杆菌 ST131 菌株的基因组序列,可为这一高度毒力、多药耐药且成功流行的细菌病原体的基因组多样性提供进一步的认识。