1. Salmonella Typhimurium with Eight Tandem Copies of bla NDM-1 on a HI2 Plasmid.
- Author
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Song, Huijuan, Zou, Siyu, Huang, Yi, Jian, Cui, Liu, Weiyong, Tian, Lei, Gong, Lu, Chen, Zhongju, Sun, Ziyong, and Wang, Yue
- Subjects
SALMONELLA typhimurium ,PLASMIDS ,MULTIDRUG resistance ,MICROBIAL sensitivity tests ,SALMONELLA enterica ,INFECTION control - Abstract
Carbapenem-resistant Salmonella has recently aroused increasing attention. In this study, a total of four sequence type 36 Salmonella enterica subsp. enterica serovar Typhimurium (S. Typhimurium) isolates were consecutively isolated from an 11-month-old female patient with a gastrointestinal infection, of which one was sensitive to carbapenems and three were resistant to carbapenems. Via antibiotic susceptibility testing, a carbapenemases screening test, plasmid conjugation experiments, Illumina short-reads, and PacBio HiFi sequencing, we found that all four S. Typhimurium isolates contained a bla
CTX-M-14 -positive IncI1 plasmid. One carbapenem-sensitive S. Typhimurium isolate then obtained an IncHI2 plasmid carrying blaNDM-1 and an IncP plasmid without any resistance genes during the disease progression. The blaNDM-1 gene was located on a new 30 kb multiple drug resistance region, which is flanked by IS26 and TnAs2, respectively. In addition, the ST_F0903R isolate contained eight tandem copies of the ISCR1 unit (ISCR1-dsbD-trpF-ble-blaNDM-1 -ISAba125Δ1), but an increase in MICs to carbapenems was not observed. Our work further provided evidence of the rapid spread and amplification of blaNDM-1 through plasmid. Prompting the recognition of carbapenem-resistant Enterobacterales and the initiation of appropriate infection control measures are essential to avoid the spread of these organisms. [ABSTRACT FROM AUTHOR]- Published
- 2024
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