Spread of Plasmids Carrying Multiple GES Variants

Author:

Cuzon Gaelle123,Bogaerts Pierre4,Bauraing Caroline4,Huang Te-Din4,Bonnin Rémy A.1235ORCID,Glupczynski Youri4,Naas Thierry1235

Affiliation:

1. Bactériologie-Hygiene Unit, APHP, Bicêtre Hospital, Le Kremlin-Bicêtre, France

2. Université Paris Sud, Université Paris Saclay, LabEx Lermit, Faculty of Medicine, Le Kremlin-Bicetre, France

3. French National Reference Center for Antibiotic Resistance: Carbapenemase-Producing Enterobacteriaceae, Le Kremlin-Bicêtre, France

4. Belgian National Reference Centre for Monitoring of Antimicrobial Resistance in Gram-Negative Bacteria, CHU Dinant-Godinne UCL Namur, Université Catholique de Louvain, Yvoir, Belgium

5. Evolution and Ecology of Resistance to Antibiotics (EERA) Unit, Institut Pasteur-APHP-Université Paris Sud, Le Kremlin-Bicetre, France

Abstract

ABSTRACT Five GES-producing Enterobacteriaceae isolates that displayed an extended-spectrum β-lactamase (ESBL) phenotype harbored two GES variants: GES-7 ESBL and GES-6 carbapenemase. In all isolates, the two GES alleles were located on the same integron that was inserted into an 80-kb IncM1 self-conjugative plasmid. Whole-genome sequencing suggested in vivo horizontal gene transfer of the plasmid along with clonal diffusion of Enterobacter cloacae . To our knowledge, this is the first description in Europe of clustered Enterobacteriaceae isolates carrying two GES β-lactamases, of which one has extended activity toward carbapenems.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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