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Comparative Genomic Analysis Reveals the Emergence of ST-231 and ST-395 <i>Klebsiella pneumoniae</i> Strains Associated with the High Transmissibility of <i>bla<sub>KPC</sub></i> Plasmids
oleh: Muna AL-Muzahmi, Meher Rizvi, Munawr AL-Quraini, Zakariya AL-Muharrmi, Zaaima AL-Jabri
Format: | Article |
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Diterbitkan: | MDPI AG 2023-09-01 |
Deskripsi
Conjugative transposons in Gram-negative bacteria have a significant role in the dissemination of antibiotic-resistance-conferring genes between bacteria. This study aims to genomically characterize plasmids and conjugative transposons carrying integrons in clinical isolates of <i>Klebsiella pneumoniae. The</i> genetic composition of conjugative transposons and phenotypic assessment of 50 multidrug-resistant <i>K. pneumoniae</i> isolates from a tertiary-care hospital (SQUH), Muscat, Oman, were investigated. Horizontal transferability was investigated by filter mating conjugation experiments. Whole-genome sequencing (WGS) was performed to determine the sequence type (ST), acquired resistome, and plasmidome of integron-carrying strains. Class 1 integrons were detected in 96% of isolates and, among integron-positive isolates, 18 stains contained variable regions. Horizontal transferability by conjugation confirmed the successful transfer of integrons between cells and WGS confirmed their presence in conjugative plasmids. Dihydrofolate reductase (<i>dfrA14</i>) was the most prevalent (34.8%) gene cassette in class 1 integrons. MLST analysis detected predominantly ST-231 and ST-395. <i>Bla</i><sub>OXA-232</sub> and <i>bla<sub>CTX-M-15</sub></i> were the most frequently detected carbapenemases and beta-lactamases in the sequenced isolates. This study highlighted the high transmissibility of MDR-conferring conjugative plasmids in clinical isolates of <i>K. pneumoniae</i>. Therefore, the wise use of antibiotics and the adherence to effective infection control measures are necessary to limit the further dissemination of multidrug-resistant bacteria.