OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador

Antibiotic resistance is on the rise, leading to an increase in morbidity and mortality due to infectious diseases. <i>Klebsiella pneumoniae</i> is a Gram-negative bacterium that causes bronchopneumonia, abscesses, urinary tract infection, osteomyelitis, and a wide variety of infections....

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Main Authors: José E. Villacís, Jorge A. Reyes, Hugo G. Castelán-Sánchez, Sonia Dávila-Ramos, Miguel Angel Lazo, Ahmad Wali, Luis A. Bodero, Yadira Toapanta, Cristina Naranjo, Lorena Montero, Josefina Campos, Marcelo G. Galas, Mónica C. Gestal
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/8/3/435
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author José E. Villacís
Jorge A. Reyes
Hugo G. Castelán-Sánchez
Sonia Dávila-Ramos
Miguel Angel Lazo
Ahmad Wali
Luis A. Bodero
Yadira Toapanta
Cristina Naranjo
Lorena Montero
Josefina Campos
Marcelo G. Galas
Mónica C. Gestal
author_facet José E. Villacís
Jorge A. Reyes
Hugo G. Castelán-Sánchez
Sonia Dávila-Ramos
Miguel Angel Lazo
Ahmad Wali
Luis A. Bodero
Yadira Toapanta
Cristina Naranjo
Lorena Montero
Josefina Campos
Marcelo G. Galas
Mónica C. Gestal
author_sort José E. Villacís
collection DOAJ
description Antibiotic resistance is on the rise, leading to an increase in morbidity and mortality due to infectious diseases. <i>Klebsiella pneumoniae</i> is a Gram-negative bacterium that causes bronchopneumonia, abscesses, urinary tract infection, osteomyelitis, and a wide variety of infections. The ubiquity of this microorganism confounds with the great increase in antibiotic resistance and have bred great concern worldwide. <i>K. pneumoniae</i> sequence type (ST) 307 is a widespread emerging clone associated with hospital-acquired infections, although sporadic community infections have also been reported. The aim of our study is to describe the first case of <i>Klebsiella pneumoniae</i> (ST) 307 harboring the blaOXA-48-like gene in Ecuador. We characterized a new plasmid that carry OXA-48 and could be the source of future outbreaks. The strain was recovered from a patient with cancer previously admitted in a Ukrainian hospital, suggesting that this mechanism of resistance could be imported. These findings highlight the importance of programs based on active molecular surveillance for the intercontinental spread of multidrug-resistant microorganisms with emergent carbapenemases.
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spelling doaj.art-86364ec375c143a597b72ba7a2ca808b2022-12-22T01:26:18ZengMDPI AGMicroorganisms2076-26072020-03-018343510.3390/microorganisms8030435microorganisms8030435OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in EcuadorJosé E. Villacís0Jorge A. Reyes1Hugo G. Castelán-Sánchez2Sonia Dávila-Ramos3Miguel Angel Lazo4Ahmad Wali5Luis A. Bodero6Yadira Toapanta7Cristina Naranjo8Lorena Montero9Josefina Campos10Marcelo G. Galas11Mónica C. Gestal12Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Quito 170143, EcuadorFacultad de Ciencias Químicas, Universidad Central del Ecuador, Quito 170129, EcuadorCentro de Investigación en Dinámica Celular, Instituto de Investigaciones Básicas y Aplicadas Universidad Autónoma del Estado de Morelos, Cuernavaca Morelos 62209, MexicoCentro de Investigación en Dinámica Celular, Instituto de Investigaciones Básicas y Aplicadas Universidad Autónoma del Estado de Morelos, Cuernavaca Morelos 62209, MexicoHospital de Especialidades Eugenio Espejo, Quito 170136, EcuadorHospital de Especialidades Eugenio Espejo, Quito 170136, EcuadorMinisterio de Salud Pública, Quito 170702, EcuadorHospital de Especialidades Eugenio Espejo, Quito 170136, EcuadorHospital de Especialidades Eugenio Espejo, Quito 170136, EcuadorMinisterio de Salud Pública, Quito 170702, EcuadorAdministración Nacional de Laboratorios e Institutos de Salud ”Dr. Carlos G. Malbrán,” Buenos Aires 1281, ArgentinaPan American Health Organization/WHO, Washington, DC 20037, USALouisiana State University (LSU), Health Science Center, Shreveport, LA 71103, USAAntibiotic resistance is on the rise, leading to an increase in morbidity and mortality due to infectious diseases. <i>Klebsiella pneumoniae</i> is a Gram-negative bacterium that causes bronchopneumonia, abscesses, urinary tract infection, osteomyelitis, and a wide variety of infections. The ubiquity of this microorganism confounds with the great increase in antibiotic resistance and have bred great concern worldwide. <i>K. pneumoniae</i> sequence type (ST) 307 is a widespread emerging clone associated with hospital-acquired infections, although sporadic community infections have also been reported. The aim of our study is to describe the first case of <i>Klebsiella pneumoniae</i> (ST) 307 harboring the blaOXA-48-like gene in Ecuador. We characterized a new plasmid that carry OXA-48 and could be the source of future outbreaks. The strain was recovered from a patient with cancer previously admitted in a Ukrainian hospital, suggesting that this mechanism of resistance could be imported. These findings highlight the importance of programs based on active molecular surveillance for the intercontinental spread of multidrug-resistant microorganisms with emergent carbapenemases.https://www.mdpi.com/2076-2607/8/3/435<i>klebsiella pneumoniae</i>oxa-48 carbapenemasecarbapenemase-producing enterobacterales
spellingShingle José E. Villacís
Jorge A. Reyes
Hugo G. Castelán-Sánchez
Sonia Dávila-Ramos
Miguel Angel Lazo
Ahmad Wali
Luis A. Bodero
Yadira Toapanta
Cristina Naranjo
Lorena Montero
Josefina Campos
Marcelo G. Galas
Mónica C. Gestal
OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador
Microorganisms
<i>klebsiella pneumoniae</i>
oxa-48 carbapenemase
carbapenemase-producing enterobacterales
title OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador
title_full OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador
title_fullStr OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador
title_full_unstemmed OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador
title_short OXA-48 Carbapenemase in <i>Klebsiella pneumoniae</i> Sequence Type 307 in Ecuador
title_sort oxa 48 carbapenemase in i klebsiella pneumoniae i sequence type 307 in ecuador
topic <i>klebsiella pneumoniae</i>
oxa-48 carbapenemase
carbapenemase-producing enterobacterales
url https://www.mdpi.com/2076-2607/8/3/435
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