Molecular Characterization of KPC-2-Producing <i>Enterobacter cloacae</i> Complex Isolates from Cali, Colombia

The <i>Enterobacter cloacae</i> complex is an emerging opportunistic pathogen whose increased resistance to carbapenems is considered a public health problem. This is due to the loss of efficacy of beta-lactam antibiotics, which are used as the first treatment option in the management of...

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Bibliographic Details
Main Authors: Aura Falco, Daniela Guerrero, Isabella García, Adriana Correa, Sandra Rivera, María Beatriz Olaya, Carlos Aranaga
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/10/6/694
Description
Summary:The <i>Enterobacter cloacae</i> complex is an emerging opportunistic pathogen whose increased resistance to carbapenems is considered a public health problem. This is due to the loss of efficacy of beta-lactam antibiotics, which are used as the first treatment option in the management of infections caused by Gram-negative bacteria. The objective of this study was to perform the molecular characterization of 28 isolates of the <i>E. cloacae</i> complex resistant to cephalosporins and carbapenems isolated between 2011 and 2018 from five hospitals located in the municipality of Santiago de Cali, Colombia. Molecular detection of <i>bla</i><sub>KPC</sub>, <i>bla</i><sub>VIM</sub>, <i>bla</i><sub>NDM</sub> and <i>bla</i><sub>OXA-48-like</sub> genes was performed on these isolates and the genetic relationship between the isolates was assessed using multilocus sequence typing (MLST). Forty-three percent of the isolates carried the <i>bla</i><sub>KPC-2</sub> gene variant. MLST showed high genetic diversity among isolates, the most frequent being the sequence type ST510 with a frequency of 50%. The identification of the genes involved in carbapenem resistance and dispersing genotypes is an important step toward the development of effective prevention and epidemiological surveillance strategies in Colombian hospitals.
ISSN:2079-6382