Dissemination of NDM-producing bacteria in Southern Brazil

The dissemination of NDM-1 carbapenemases (New Delhi Metallo-β-lactamase) is a global public health problem, mainly in developing countries. The aim of this study was to characterize the spread of NDM-producing bacteria in the Southern Brazilian states analyzing epidemiological, molecular, and antim...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2023-06, Vol.106 (2), p.115930-115930, Article 115930
Hauptverfasser: Arend, Lavinia N.V.S., Bergamo, Ricardo, Rocha, Fabiano B., Bail, Larissa, Ito, Carmen, Baura, Valter A., Balsanelli, Eduardo, Pothier, Joël F., Rezzonico, Fabio, Pilonetto, Marcelo, Smits, Theo H.M., Tuon, Felipe Francisco
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container_issue 2
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container_title Diagnostic microbiology and infectious disease
container_volume 106
creator Arend, Lavinia N.V.S.
Bergamo, Ricardo
Rocha, Fabiano B.
Bail, Larissa
Ito, Carmen
Baura, Valter A.
Balsanelli, Eduardo
Pothier, Joël F.
Rezzonico, Fabio
Pilonetto, Marcelo
Smits, Theo H.M.
Tuon, Felipe Francisco
description The dissemination of NDM-1 carbapenemases (New Delhi Metallo-β-lactamase) is a global public health problem, mainly in developing countries. The aim of this study was to characterize the spread of NDM-producing bacteria in the Southern Brazilian states analyzing epidemiological, molecular, and antimicrobial susceptibility aspects. A total of 10,684 carbapenem-resistant isolates of Enterobacterales, Pseudomonas spp. and Acinetobacter spp. obtained from several hospitals in eight cities in Southern Brazil were screened, and 486 NDM-producing bacteria were selected. The incidence varied from 0.5 to 77 cases/100.000 habitants. ST11, ST15, ST340 and ST674 were the most common in K. pneumoniae. A total of 5 plasmids were identified in one K. pneumoniae strain: Col440I, Col440II, IncFIA(HI1), IncFIB(K), IncFIB(pQil)/ IncFII(K), and IncR. The number of patients with NDM-producing bacteria has increased in Southern Brazil, whose gene is present in different plasmids, explaining the expansion of this enzyme.
doi_str_mv 10.1016/j.diagmicrobio.2023.115930
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subjects Anti-Bacterial Agents - pharmacology
Antimicrobial resistance
beta-Lactamases - genetics
Brazil - epidemiology
Carbapenemase
Carbapenems
Drug Resistance, Multiple, Bacterial - genetics
Enterobacterales
Humans
Klebsiella Infections - microbiology
Klebsiella pneumoniae
Klebsiella pneumoniae - genetics
Microbial Sensitivity Tests
Plasmids
title Dissemination of NDM-producing bacteria in Southern Brazil
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