Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals

We report the presence of the <i>mcr-1</i> gene among 880 <i>Escherichia coli</i> clinical isolates collected in 13 hospitals from 12 Colombian cities between 2016 and 2019. Seven (0.8%) isolates were colistin resistant (MIC ≥ 4 µg/mL). These colistin-resistant isolates were...

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Main Authors: Elsa De La Cadena, Mateo Mahecha, Ana María Velandia, Juan Carlos García-Betancur, Laura J. Rojas, Jessica Porras, Christian Pallares, María Virginia Villegas
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/3/488
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author Elsa De La Cadena
Mateo Mahecha
Ana María Velandia
Juan Carlos García-Betancur
Laura J. Rojas
Jessica Porras
Christian Pallares
María Virginia Villegas
author_facet Elsa De La Cadena
Mateo Mahecha
Ana María Velandia
Juan Carlos García-Betancur
Laura J. Rojas
Jessica Porras
Christian Pallares
María Virginia Villegas
author_sort Elsa De La Cadena
collection DOAJ
description We report the presence of the <i>mcr-1</i> gene among 880 <i>Escherichia coli</i> clinical isolates collected in 13 hospitals from 12 Colombian cities between 2016 and 2019. Seven (0.8%) isolates were colistin resistant (MIC ≥ 4 µg/mL). These colistin-resistant isolates were screened for the presence of the <i>mcr-1</i> gene; five carried the gene. These five isolates were subjected to whole genome sequencing (WGS) to identify additional resistomes and their ST. In addition, antimicrobial susceptibility testing revealed that all <i>E. coli</i> isolates carrying <i>mcr-1</i> were susceptible to third generation-cephalosporin and carbapenems, except one, which carried an extended-spectrum β-lactamase (CTX-M-55), along with the fosfomycin resistance encoding gene, <i>fosA</i>. WGS indicated that these isolates belonged to four distinct sequence types (ST58, ST46, ST393, and a newly described ST14315) and to phylogroups B1, A, and D. In this geographic region, the spread of <i>mcr-1</i> in <i>E. coli</i> is low and has not been inserted into high-risk clones such as ST131, which has been present in the country longer.
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spelling doaj.art-5f2a9db4c47a440bbc4e191781b179812023-11-17T09:13:42ZengMDPI AGAntibiotics2079-63822023-03-0112348810.3390/antibiotics12030488Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian HospitalsElsa De La Cadena0Mateo Mahecha1Ana María Velandia2Juan Carlos García-Betancur3Laura J. Rojas4Jessica Porras5Christian Pallares6María Virginia Villegas7Grupo de Investigación en Resistencia Antimicrobiana y Epidemiologia Hospitalaria, Universidad El Bosque, Bogotá 110121, ColombiaGrupo de Investigación REMA, Facultad de Ciencias de la Salud, Programa de Bacteriología y Laboratorio Clínico, Universidad Colegio Mayor de Cundinamarca, Bogotá 110311, ColombiaGrupo de Investigación REMA, Facultad de Ciencias de la Salud, Programa de Bacteriología y Laboratorio Clínico, Universidad Colegio Mayor de Cundinamarca, Bogotá 110311, ColombiaGrupo de Investigación en Resistencia Antimicrobiana y Epidemiologia Hospitalaria, Universidad El Bosque, Bogotá 110121, ColombiaDepartment of Microbiology and Molecular Biology, Case Western Reserve University, Cleveland, OH 44106-7164, USAGrupo de Investigación en Resistencia Antimicrobiana y Epidemiologia Hospitalaria, Universidad El Bosque, Bogotá 110121, ColombiaGrupo de Investigación en Resistencia Antimicrobiana y Epidemiologia Hospitalaria, Universidad El Bosque, Bogotá 110121, ColombiaGrupo de Investigación en Resistencia Antimicrobiana y Epidemiologia Hospitalaria, Universidad El Bosque, Bogotá 110121, ColombiaWe report the presence of the <i>mcr-1</i> gene among 880 <i>Escherichia coli</i> clinical isolates collected in 13 hospitals from 12 Colombian cities between 2016 and 2019. Seven (0.8%) isolates were colistin resistant (MIC ≥ 4 µg/mL). These colistin-resistant isolates were screened for the presence of the <i>mcr-1</i> gene; five carried the gene. These five isolates were subjected to whole genome sequencing (WGS) to identify additional resistomes and their ST. In addition, antimicrobial susceptibility testing revealed that all <i>E. coli</i> isolates carrying <i>mcr-1</i> were susceptible to third generation-cephalosporin and carbapenems, except one, which carried an extended-spectrum β-lactamase (CTX-M-55), along with the fosfomycin resistance encoding gene, <i>fosA</i>. WGS indicated that these isolates belonged to four distinct sequence types (ST58, ST46, ST393, and a newly described ST14315) and to phylogroups B1, A, and D. In this geographic region, the spread of <i>mcr-1</i> in <i>E. coli</i> is low and has not been inserted into high-risk clones such as ST131, which has been present in the country longer.https://www.mdpi.com/2079-6382/12/3/488<i>Escherichia coli</i>colistin resistance<i>mcr-1</i>
spellingShingle Elsa De La Cadena
Mateo Mahecha
Ana María Velandia
Juan Carlos García-Betancur
Laura J. Rojas
Jessica Porras
Christian Pallares
María Virginia Villegas
Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals
Antibiotics
<i>Escherichia coli</i>
colistin resistance
<i>mcr-1</i>
title Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals
title_full Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals
title_fullStr Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals
title_full_unstemmed Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals
title_short Identification of <i>mcr-1</i> Genes and Characterization of Resistance Mechanisms to Colistin in <i>Escherichia coli</i> Isolates from Colombian Hospitals
title_sort identification of i mcr 1 i genes and characterization of resistance mechanisms to colistin in i escherichia coli i isolates from colombian hospitals
topic <i>Escherichia coli</i>
colistin resistance
<i>mcr-1</i>
url https://www.mdpi.com/2079-6382/12/3/488
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