Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns

The intestinal microbiota, a barrier to the establishment of pathogenic bacteria, is also an important reservoir of opportunistic pathogens. It plays a key role in the process of resistance-genes dissemination, commonly carried by specialized genetic elements, like plasmids, phages, and conjugative...

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Main Authors: Julio César de Siqueira Barros, Sebastião Ronaldo Pinheiro, Marcelo Bozza, Frederico José Gueiros-Filho, Alexandre Ribeiro Bello, Ulisses Gazos Lopes, José Augusto Adler Pereira
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 1999-11-01
Series:Memorias do Instituto Oswaldo Cruz
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761999000600016
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author Julio César de Siqueira Barros
Sebastião Ronaldo Pinheiro
Marcelo Bozza
Frederico José Gueiros-Filho
Alexandre Ribeiro Bello
Ulisses Gazos Lopes
José Augusto Adler Pereira
author_facet Julio César de Siqueira Barros
Sebastião Ronaldo Pinheiro
Marcelo Bozza
Frederico José Gueiros-Filho
Alexandre Ribeiro Bello
Ulisses Gazos Lopes
José Augusto Adler Pereira
author_sort Julio César de Siqueira Barros
collection DOAJ
description The intestinal microbiota, a barrier to the establishment of pathogenic bacteria, is also an important reservoir of opportunistic pathogens. It plays a key role in the process of resistance-genes dissemination, commonly carried by specialized genetic elements, like plasmids, phages, and conjugative transposons. We obtained from strains of enterobacteria, isolated from faeces of newborns in a university hospital nursery, indication of phenothypical gentamicin resistance amplification (frequencies of 10-3 to 10-5, compatible with transposition frequencies). Southern blotting assays showed strong hybridization signals for both plasmidial and chromossomal regions in DNA extracted from variants selected at high gentamicin concentrations, using as a probe a labeled cloned insert containing aminoglycoside modifying enzyme (AME) gene sequence originated from a plasmid of a Klebsiella pneumoniae strain previously isolated in the same hospital. Further, we found indications of inactivation to other resistance genes in variants selected under similar conditions, as well as, indications of co-amplification of other AME markers (amikacin). Since the intestinal environment is a scenario of selective processes due to the therapeutic and prophylactic use of antimicrobial agents, the processes of amplification of low level antimicrobial resistance (not usually detected or sought by common methods used for antibiotic resistance surveillance) might compromise the effectiveness of antibiotic chemotherapy.
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spelling doaj.art-c339145cef35406e9a8f6fb5893de8a02023-09-02T22:15:02ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80601999-11-0194679580210.1590/S0074-02761999000600016Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newbornsJulio César de Siqueira BarrosSebastião Ronaldo PinheiroMarcelo BozzaFrederico José Gueiros-FilhoAlexandre Ribeiro BelloUlisses Gazos LopesJosé Augusto Adler PereiraThe intestinal microbiota, a barrier to the establishment of pathogenic bacteria, is also an important reservoir of opportunistic pathogens. It plays a key role in the process of resistance-genes dissemination, commonly carried by specialized genetic elements, like plasmids, phages, and conjugative transposons. We obtained from strains of enterobacteria, isolated from faeces of newborns in a university hospital nursery, indication of phenothypical gentamicin resistance amplification (frequencies of 10-3 to 10-5, compatible with transposition frequencies). Southern blotting assays showed strong hybridization signals for both plasmidial and chromossomal regions in DNA extracted from variants selected at high gentamicin concentrations, using as a probe a labeled cloned insert containing aminoglycoside modifying enzyme (AME) gene sequence originated from a plasmid of a Klebsiella pneumoniae strain previously isolated in the same hospital. Further, we found indications of inactivation to other resistance genes in variants selected under similar conditions, as well as, indications of co-amplification of other AME markers (amikacin). Since the intestinal environment is a scenario of selective processes due to the therapeutic and prophylactic use of antimicrobial agents, the processes of amplification of low level antimicrobial resistance (not usually detected or sought by common methods used for antibiotic resistance surveillance) might compromise the effectiveness of antibiotic chemotherapy.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761999000600016resistance amplificationaminoglycosides modifying enzymesKlebsiella pneumoniae
spellingShingle Julio César de Siqueira Barros
Sebastião Ronaldo Pinheiro
Marcelo Bozza
Frederico José Gueiros-Filho
Alexandre Ribeiro Bello
Ulisses Gazos Lopes
José Augusto Adler Pereira
Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns
Memorias do Instituto Oswaldo Cruz
resistance amplification
aminoglycosides modifying enzymes
Klebsiella pneumoniae
title Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns
title_full Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns
title_fullStr Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns
title_full_unstemmed Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns
title_short Evidences of gentamicin resistance amplification in Klebsiella pneumoniae isolated from faeces of hospitalized newborns
title_sort evidences of gentamicin resistance amplification in klebsiella pneumoniae isolated from faeces of hospitalized newborns
topic resistance amplification
aminoglycosides modifying enzymes
Klebsiella pneumoniae
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761999000600016
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