Genomic Analysis of Multidrug-Resistant Enterococcus faecium Harboring vanA Gene from Wastewater Treatment Plants

The emergence of vancomycin-resistant Enterococcus faecium (Efm) harboring vanA gene and multidrug-resistant determinants is a relevant public health concern. It is an opportunistic pathogen responsible for nosocomial infections widely distributed in the environment, including wastewater treatment p...

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Veröffentlicht in:Microbial drug resistance (Larchmont, N.Y.) N.Y.), 2022-04, Vol.28 (4), p.444-452
Hauptverfasser: Farias, Beatriz Oliveira de, Bianco, Kayo, Nascimento, Ana Paula Alves, Gonçalves de Brito, Andressa Silva, Moreira, Thais Costa, Clementino, Maysa Mandetta
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container_end_page 452
container_issue 4
container_start_page 444
container_title Microbial drug resistance (Larchmont, N.Y.)
container_volume 28
creator Farias, Beatriz Oliveira de
Bianco, Kayo
Nascimento, Ana Paula Alves
Gonçalves de Brito, Andressa Silva
Moreira, Thais Costa
Clementino, Maysa Mandetta
description The emergence of vancomycin-resistant Enterococcus faecium (Efm) harboring vanA gene and multidrug-resistant determinants is a relevant public health concern. It is an opportunistic pathogen responsible for nosocomial infections widely distributed in the environment, including wastewater treatment plants (WWTPs). Our study addresses a genomic investigation of vanA -carrying Efm from WWTPs in Brazil. Samples from five WWTPs supplied with sewage from different sources were evaluated. Here we present whole-genome sequencing of eight vanA -Efm isolates performed on Illumina MiSeq platform. All these isolates presented multidrug-resistant profile, and five strains were from treated wastewater. Multiple antimicrobial resistance genes (ARGs) were found, such as aph(3′)-IIIa , ant(6′)-Ia , erm(B) , and msrC , some of them being allocated in plasmids. The virulence profile was predominantly constituted by efaAfm and acm genes and all isolates, except for one, were predicted as human pathogens. Multilocus sequence typing analysis revealed a new allele and five different STs, three previously described (ST32, ST168, and ST253) and two novel ones (ST1893 and ST1894). Six strains belonged to CC17, often associated with hospital outbreaks. As far as our knowledge, no genomic studies of vanA -Efm recovered from WWTPs revealed isolates belonging to CC17 in Brazil. Therefore, our findings point to the environmental spread of Efm carrying multiple ARGs.
doi_str_mv 10.1089/mdr.2021.0254
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It is an opportunistic pathogen responsible for nosocomial infections widely distributed in the environment, including wastewater treatment plants (WWTPs). Our study addresses a genomic investigation of vanA -carrying Efm from WWTPs in Brazil. Samples from five WWTPs supplied with sewage from different sources were evaluated. Here we present whole-genome sequencing of eight vanA -Efm isolates performed on Illumina MiSeq platform. All these isolates presented multidrug-resistant profile, and five strains were from treated wastewater. Multiple antimicrobial resistance genes (ARGs) were found, such as aph(3′)-IIIa , ant(6′)-Ia , erm(B) , and msrC , some of them being allocated in plasmids. The virulence profile was predominantly constituted by efaAfm and acm genes and all isolates, except for one, were predicted as human pathogens. Multilocus sequence typing analysis revealed a new allele and five different STs, three previously described (ST32, ST168, and ST253) and two novel ones (ST1893 and ST1894). Six strains belonged to CC17, often associated with hospital outbreaks. As far as our knowledge, no genomic studies of vanA -Efm recovered from WWTPs revealed isolates belonging to CC17 in Brazil. 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identifier ISSN: 1076-6294
ispartof Microbial drug resistance (Larchmont, N.Y.), 2022-04, Vol.28 (4), p.444-452
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1931-8448
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source Alma/SFX Local Collection
subjects Antibiotic resistance
Antibiotics
Antimicrobial resistance
Drug resistance
Enterococcus faecium
Epidemiology
Gene sequencing
Genes
Genomic analysis
Genomics
Multidrug resistance
Multidrug resistant organisms
Multilocus sequence typing
Nosocomial infection
Opportunist infection
Pathogens
Plasmids
Public health
Sewage
Sewage disposal
VanA gene
Vancomycin
Virulence
Wastewater treatment
Wastewater treatment plants
Water treatment
Whole genome sequencing
title Genomic Analysis of Multidrug-Resistant Enterococcus faecium Harboring vanA Gene from Wastewater Treatment Plants
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