Multiple-Antibiotic Resistance Mediated by Structurally Related IncL/M Plasmids Carrying an Extended-Spectrum β-Lactamase Gene and a Class 1 Integron

Author:

Villa Laura1,Pezzella Cristina1,Tosini Fabio2,Visca Paolo34,Petrucca Andrea1,Carattoli Alessandra1

Affiliation:

1. Laboratory of Bacteriology and Medical Mycology1 and

2. Laboratory of Cellular Biology,2 Istituto Superiore di Sanità,

3. Dipartimento di Biologia, Università di Roma Tre,3 and

4. IRCCS Lazzaro Spallanzani,4 Rome, Italy

Abstract

ABSTRACT A conjugative IncL/M plasmid (pSEM) conferring resistance to gentamicin, amikacin, kanamycin, sulfonamides, and expanded-spectrum cephalosporins was found in pathogenic strains of Salmonella enterica serotype Typhimurium. Resistance to aminoglycosides was encoded by a sul1 -type class 1 integron (In-t3). An extended-spectrum beta-lactamase gene, bla SHV-5 , was identified 3.5 kb downstream of the integrase ( intI1 ) gene of In-t3. Nucleotide sequence analysis of the 5.3-kb bla SHV-5 –In-t3 region of pSEM highlighted striking similarities with IncL/M plasmids isolated from nosocomial gram-negative pathogens, conferring resistance to expanded-spectrum cephalosporins and aminoglycosides.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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