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The two BKCproducing isolates belonged to 50446 complex and possessed identical pulsed-field gel electrophoresis patterns. The carbapenemase was encoded by bla BKC-1which was located on a small nonconjugative plasmid 2. Kpn showed susceptibility to tigecycline MIC, 0. Performance standards jck antimicrobial susceptibility testing; 25th informational supplement. The other authors have no conflicts to declare.
Martinsa Adriana G. Published online Jul Antimicrobial susceptibility testing was performed by the broth microdilution method, according to CLSI guidelines 45.
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This article has been cited by other articles in PMC. To evaluate the stability of p harbored by the Kpn isolate, we performed serial passages of the Kpn isolate on Mueller-Hinton agar plates without the addition of antibiotic.
The principal objective of this study was to evaluate the frequency of bla BKC-1 by testing a collection of Klebsiella isolates.
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To date, inactivation of mgrB has been the main mechanism of polymyxin resistance observed in K. Prepublished online May Open in a separate window.
Support Center Support Center. To determine whether this plasmid was identical to p, the first plasmid identified as carrying bla BKC-1we performed whole-plasmid sequencing of the plasmid recovered from KpnJ.
National Center for Biotechnology JcmmU. It is important to note that such new studies must search for bla BKC-1 using molecular techniques, since phenotypic tests jjcm not accurately detect BKCproducing isolates 8. Author information Article notes Copyright and License information Disclaimer.
Sampaiob, c and Ana C. J Antimicrob Chemother Antimicrob Agents Chemother A total of Klebsiella strains collected from previous surveillance studies were randomly selected for this study, in order to represent distinct Brazilian geographic regions. In conclusion, prudent use of antimicrobials and strict jc to infection control measures seem to be the only effective tools for preventing the acquisition and spread of new carbapenemase-encoding genes. In the past decade, carbapenemase-encoding genes such as bla KPC-likebla OXAand bla NDM-like have emerged as the main mechanisms of carbapenem resistance in Enterobacteriaceae.
The Klebsiella strains were isolated from different clinical specimens obtained between and Fig. The mgrB gene as a key target for acquired resistance to colistin in Klebsiella pneumoniae.
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During the experiments, it was observed that bla BKC-1 was easily lost in the absence of selective pressure. Only 2 of Klebsiella isolates 0. In this study, a low frequency of isolates jcn bla BKC-1 was observed and was mainly attributed to the persistence of a Icm.
More studies with greater numbers of isolates from all Brazilian states are necessary to assess the real prevalence of isolates carrying bla BKC Carbapenemase-producing Klebsiella pneumoniae, a key pathogen set for global nosocomial dominance.
Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically; approved standard— 10th ed CLSI document MA However, Southern blot analysis revealed that the bla Jccm gene was located on the same kb plasmid in both isolates. For comparison purposes, the first reported BKC-producing strains, i.
Nicolettia Silvia R. We verified that, in the absence of selective pressure, the plasmid harboring the bla BKC-1 gene, p, was unstable. The bla BKC-1 gene was inserted into a kb plasmid that was identical to the previously reported plasmid, p BKC-1 Brazilian Klebsiella carbapenemase is a class A serine carbapenemase that was recently identified in Klebsiella pneumoniae isolates from Jxm that belonged to sequence type ST clonal complex [CC] 2.
Transformant cells were selected on LB agar plates supplemented with 0.