Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil

Multidrug-resistant microorganisms are a well-known global problem, and gram-negative bacilli are top-ranking. When these pathogens are associated with bloodstream infections (BSI), outcomes become even worse. Here we applied whole-genome sequencing to access information about clonal distribution, r...

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Main Authors: Melise Chaves Silveira, Cláudio Marcos Rocha-de-Souza, Ivson Cassiano de Oliveira Santos, Leilane da Silva Pontes, Thamirys Rachel Tavares e Oliveira, Camila Bastos Tavares-Teixeira, Nataly de Almeida Cossatis, Natacha Ferreira Pereira, Orlando Carlos da Conceição-Neto, Bianca Santos da Costa, Daiana Cristina Silva Rodrigues, Rodolpho Mattos Albano, Fabrício Alves Barbosa da Silva, Elizabeth Andrade Marques, Robson Souza Leão, Ana Paula D'Alincourt Carvalho-Assef
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.635206/full
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author Melise Chaves Silveira
Cláudio Marcos Rocha-de-Souza
Ivson Cassiano de Oliveira Santos
Leilane da Silva Pontes
Thamirys Rachel Tavares e Oliveira
Camila Bastos Tavares-Teixeira
Nataly de Almeida Cossatis
Natacha Ferreira Pereira
Orlando Carlos da Conceição-Neto
Bianca Santos da Costa
Daiana Cristina Silva Rodrigues
Rodolpho Mattos Albano
Fabrício Alves Barbosa da Silva
Elizabeth Andrade Marques
Robson Souza Leão
Ana Paula D'Alincourt Carvalho-Assef
author_facet Melise Chaves Silveira
Cláudio Marcos Rocha-de-Souza
Ivson Cassiano de Oliveira Santos
Leilane da Silva Pontes
Thamirys Rachel Tavares e Oliveira
Camila Bastos Tavares-Teixeira
Nataly de Almeida Cossatis
Natacha Ferreira Pereira
Orlando Carlos da Conceição-Neto
Bianca Santos da Costa
Daiana Cristina Silva Rodrigues
Rodolpho Mattos Albano
Fabrício Alves Barbosa da Silva
Elizabeth Andrade Marques
Robson Souza Leão
Ana Paula D'Alincourt Carvalho-Assef
author_sort Melise Chaves Silveira
collection DOAJ
description Multidrug-resistant microorganisms are a well-known global problem, and gram-negative bacilli are top-ranking. When these pathogens are associated with bloodstream infections (BSI), outcomes become even worse. Here we applied whole-genome sequencing to access information about clonal distribution, resistance mechanism diversity and other molecular aspects of gram-negative bacilli (GNB) isolated from bloodstream infections in Brazil. It was possible to highlight international high-risk clones circulating in the Brazilian territory, such as CC258 for Klebsiella pneumoniae, ST79 for Acinetobacter baumannii and ST233 for Pseudomonas aeruginosa. Important associations can be made such as a negative correlation between CRISPR-Cas and K. pneumoniae CC258, while the genes blaTEM, blaKPC and blaCTX−M are highly associated with this clone. Specific relationships between A. baumannii clones and blaOXA−51 variants were also observed. All P. aeruginosa ST233 isolates showed the genes blaVIM and blaOXA486. In addition, some trends could be identified, where a new P. aeruginosa MDR clone (ST3079), a novel A. baumannii clonal profile circulating in Brazil (ST848), and important resistance associations in the form of blaVIM−2 and blaIMP−56 being found together in one ST233 strain, stand out. Such findings may help to develop approaches to deal with BSI and even other nosocomial infections caused by these important GNB.
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spelling doaj.art-1bf46f2c4969457aa955c7c32e112a422022-12-21T22:26:57ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-03-01810.3389/fmed.2021.635206635206Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in BrazilMelise Chaves Silveira0Cláudio Marcos Rocha-de-Souza1Ivson Cassiano de Oliveira Santos2Leilane da Silva Pontes3Thamirys Rachel Tavares e Oliveira4Camila Bastos Tavares-Teixeira5Nataly de Almeida Cossatis6Natacha Ferreira Pereira7Orlando Carlos da Conceição-Neto8Bianca Santos da Costa9Daiana Cristina Silva Rodrigues10Rodolpho Mattos Albano11Fabrício Alves Barbosa da Silva12Elizabeth Andrade Marques13Robson Souza Leão14Ana Paula D'Alincourt Carvalho-Assef15Laboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilDepartamento de Bioquímica, Instituto de Biologia Roberto de Alcântara Gome, Universidade do Estado do Rio de Janeiro – UERJ, Rio de Janeiro, BrazilPrograma de Computação Científica, Fundação Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilDepartamento de Microbiologia, Imunologia e Parasitologia, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro – UERJ, Rio de Janeiro, BrazilDepartamento de Microbiologia, Imunologia e Parasitologia, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro – UERJ, Rio de Janeiro, BrazilLaboratório de Pesquisa em Infecção Hospitalar, Instituto Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, BrazilMultidrug-resistant microorganisms are a well-known global problem, and gram-negative bacilli are top-ranking. When these pathogens are associated with bloodstream infections (BSI), outcomes become even worse. Here we applied whole-genome sequencing to access information about clonal distribution, resistance mechanism diversity and other molecular aspects of gram-negative bacilli (GNB) isolated from bloodstream infections in Brazil. It was possible to highlight international high-risk clones circulating in the Brazilian territory, such as CC258 for Klebsiella pneumoniae, ST79 for Acinetobacter baumannii and ST233 for Pseudomonas aeruginosa. Important associations can be made such as a negative correlation between CRISPR-Cas and K. pneumoniae CC258, while the genes blaTEM, blaKPC and blaCTX−M are highly associated with this clone. Specific relationships between A. baumannii clones and blaOXA−51 variants were also observed. All P. aeruginosa ST233 isolates showed the genes blaVIM and blaOXA486. In addition, some trends could be identified, where a new P. aeruginosa MDR clone (ST3079), a novel A. baumannii clonal profile circulating in Brazil (ST848), and important resistance associations in the form of blaVIM−2 and blaIMP−56 being found together in one ST233 strain, stand out. Such findings may help to develop approaches to deal with BSI and even other nosocomial infections caused by these important GNB.https://www.frontiersin.org/articles/10.3389/fmed.2021.635206/fullmultidrug-resistancebloodstream infectionsgram-negative bacilliwhole-genome sequencingBrazilsurveillance
spellingShingle Melise Chaves Silveira
Cláudio Marcos Rocha-de-Souza
Ivson Cassiano de Oliveira Santos
Leilane da Silva Pontes
Thamirys Rachel Tavares e Oliveira
Camila Bastos Tavares-Teixeira
Nataly de Almeida Cossatis
Natacha Ferreira Pereira
Orlando Carlos da Conceição-Neto
Bianca Santos da Costa
Daiana Cristina Silva Rodrigues
Rodolpho Mattos Albano
Fabrício Alves Barbosa da Silva
Elizabeth Andrade Marques
Robson Souza Leão
Ana Paula D'Alincourt Carvalho-Assef
Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil
Frontiers in Medicine
multidrug-resistance
bloodstream infections
gram-negative bacilli
whole-genome sequencing
Brazil
surveillance
title Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil
title_full Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil
title_fullStr Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil
title_full_unstemmed Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil
title_short Genetic Basis of Antimicrobial Resistant Gram-Negative Bacteria Isolated From Bloodstream in Brazil
title_sort genetic basis of antimicrobial resistant gram negative bacteria isolated from bloodstream in brazil
topic multidrug-resistance
bloodstream infections
gram-negative bacilli
whole-genome sequencing
Brazil
surveillance
url https://www.frontiersin.org/articles/10.3389/fmed.2021.635206/full
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