mgrB Mutations Mediating Polymyxin B Resistance in Klebsiella pneumoniae Isolates from Rectal Surveillance Swabs in Brazil

Author:

Aires Caio Augusto Martins1,Pereira Polyana Silva1,Asensi Marise Dutra1,Carvalho-Assef Ana Paula D'Alincourt1

Affiliation:

1. Laboratório de Pesquisa em Infecção Hospitalar (LAPIH), Instituto Oswaldo Cruz—FIOCRUZ, Rio de Janeiro, Brazil

Abstract

ABSTRACT We aimed to investigate polymyxin B (PMB) resistance and its molecular mechanisms in 126 Klebsiella pneumoniae isolates from rectal swabs in Brazil. Ten isolates exhibited PMB resistance with interruption of mgrB gene by insertion sequences or missense mutations. Most of the PMB-resistant isolates harbored bla KPC-2 ( n = 8) and belonged to clonal complex 258 (CC258) ( n = 7). These results highlight the importance of monitoring the spread of polymyxin-resistant bacteria in hospitals, since few options remain to treat multidrug-resistant isolates.

Funder

MCTI | Conselho Nacional de Desenvolvimento Científico e Tecnológico

PAPES/Oswaldo Cruz Institute

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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