Multicopy bla OXA-58 Gene as a Source of High-Level Resistance to Carbapenems in Acinetobacter baumannii

Author:

Bertini Alessia1,Poirel Laurent2,Bernabeu Sandrine2,Fortini Daniela1,Villa Laura1,Nordmann Patrice2,Carattoli Alessandra1

Affiliation:

1. Department of Infectious, Parasitic and Immune-Mediated Diseases, Istituto Superiore di Sanitá, Rome Italy

2. Service de Bactériologie-Virologie, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Université Paris XI, K.-Bicêtre, France

Abstract

ABSTRACT The mechanisms at the origin of heterogeneous carbapenem resistance levels observed among Acinetobacter baumannii isolates collected in 2005 in a large University Hospital of Rome, Italy, were investigated. These isolates were related and possessed similar plasmids carrying the carbapenem-hydrolyzing oxacillinase gene bla OXA-58 but showed variable levels of resistance to carbapenems. Analysis of sequences surrounding the bla OXA-58 gene showed genetic variability, with the presence in several isolates of multiple copies of the bla OXA-58 gene; this extra copy number was likely related to an IS 26 -mediated transposition or recombination process.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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