Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains

We investigated unusual carbapenemase-producing Enterobacter cloacae complex isolates (n = 8) in the novel sequence type (ST) 873, which caused nosocomial infections in 2 hospitals in France. Whole-genome sequence typing showed the 1-year persistence of the epidemic strain, which harbored a blaVIM-4...

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Main Authors: Racha Beyrouthy, Marion Barets, Elodie Marion, Cédric Dananché, Olivier Dauwalder, Frédéric Robin, Lauraine Gauthier, Agnès Jousset, Laurent Dortet, François Guérin, Thomas Bénet, Pierre Cassier, Philippe Vanhems, Richard Bonnet
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2018-08-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/24/8/18-0151_article
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author Racha Beyrouthy
Marion Barets
Elodie Marion
Cédric Dananché
Olivier Dauwalder
Frédéric Robin
Lauraine Gauthier
Agnès Jousset
Laurent Dortet
François Guérin
Thomas Bénet
Pierre Cassier
Philippe Vanhems
Richard Bonnet
author_facet Racha Beyrouthy
Marion Barets
Elodie Marion
Cédric Dananché
Olivier Dauwalder
Frédéric Robin
Lauraine Gauthier
Agnès Jousset
Laurent Dortet
François Guérin
Thomas Bénet
Pierre Cassier
Philippe Vanhems
Richard Bonnet
author_sort Racha Beyrouthy
collection DOAJ
description We investigated unusual carbapenemase-producing Enterobacter cloacae complex isolates (n = 8) in the novel sequence type (ST) 873, which caused nosocomial infections in 2 hospitals in France. Whole-genome sequence typing showed the 1-year persistence of the epidemic strain, which harbored a blaVIM-4 ST1-IncHI2 plasmid, in 1 health institution and 2 closely related strains harboring blaCTX-M-15 in the other. These isolates formed a new subgroup in the E. hormaechei metacluster, according to their hsp60 sequences and phylogenomic analysis. The average nucleotide identities, specific biochemical properties, and pangenomic and functional investigations of isolates suggested isolates of a novel species that had acquired genes associated with adhesion and mobility. The emergence of this novel Enterobacter phylogenetic lineage within hospitals should be closely monitored because of its ability to persist and spread.
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spelling doaj.art-3f76df21a4e24a1e855805efcde6c6042022-12-22T01:03:05ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592018-08-012481505151510.3201/eid2408.180151Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing StrainsRacha BeyrouthyMarion BaretsElodie MarionCédric DananchéOlivier DauwalderFrédéric RobinLauraine GauthierAgnès JoussetLaurent DortetFrançois GuérinThomas BénetPierre CassierPhilippe VanhemsRichard BonnetWe investigated unusual carbapenemase-producing Enterobacter cloacae complex isolates (n = 8) in the novel sequence type (ST) 873, which caused nosocomial infections in 2 hospitals in France. Whole-genome sequence typing showed the 1-year persistence of the epidemic strain, which harbored a blaVIM-4 ST1-IncHI2 plasmid, in 1 health institution and 2 closely related strains harboring blaCTX-M-15 in the other. These isolates formed a new subgroup in the E. hormaechei metacluster, according to their hsp60 sequences and phylogenomic analysis. The average nucleotide identities, specific biochemical properties, and pangenomic and functional investigations of isolates suggested isolates of a novel species that had acquired genes associated with adhesion and mobility. The emergence of this novel Enterobacter phylogenetic lineage within hospitals should be closely monitored because of its ability to persist and spread.https://wwwnc.cdc.gov/eid/article/24/8/18-0151_articleCarbapenemaseEnterobacter cloacae complexEnterobacteriaceaeb-lactamasenosocomial outbreakVIM-4
spellingShingle Racha Beyrouthy
Marion Barets
Elodie Marion
Cédric Dananché
Olivier Dauwalder
Frédéric Robin
Lauraine Gauthier
Agnès Jousset
Laurent Dortet
François Guérin
Thomas Bénet
Pierre Cassier
Philippe Vanhems
Richard Bonnet
Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains
Emerging Infectious Diseases
Carbapenemase
Enterobacter cloacae complex
Enterobacteriaceae
b-lactamase
nosocomial outbreak
VIM-4
title Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains
title_full Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains
title_fullStr Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains
title_full_unstemmed Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains
title_short Novel Enterobacter Lineage as Leading Cause of Nosocomial Outbreak Involving Carbapenemase-Producing Strains
title_sort novel enterobacter lineage as leading cause of nosocomial outbreak involving carbapenemase producing strains
topic Carbapenemase
Enterobacter cloacae complex
Enterobacteriaceae
b-lactamase
nosocomial outbreak
VIM-4
url https://wwwnc.cdc.gov/eid/article/24/8/18-0151_article
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