Detection of rare β-lactamase bla SCO-1 from a Klebsiella pneumoniae high-risk clone in Peru.

IF 3.3 Q2 INFECTIOUS DISEASES
JAC-Antimicrobial Resistance Pub Date : 2025-05-26 eCollection Date: 2025-06-01 DOI:10.1093/jacamr/dlaf089
Luciano A Palomino-Kobayashi, Rocío Egoávil-Espejo, Gina Salvador-Luján, Pamela Yáñez, Ronnie G Gavilán, Maria J Pons, Joaquim Ruiz
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引用次数: 0

Abstract

Background: The bla SCO-1 gene, which codes for a carbenicillinase, is an uncommon β-lactamase. To the best of our knowledge, we report the first instance of a Klebsiella pneumoniae clinical high-risk isolate carrying bla SCO-1 in Peru.

Objectives: To characterize a K. pneumoniae clinical isolate carrying bla SCO-1 in Peru, isolated from a tertiary care hospital in Lima, Peru.

Methods: Susceptibility to amoxicillin/clavulanic acid, amoxicillin/sulbactam, piperacillin/tazobactam, aztreonam, ceftriaxone, cefotaxime, ceftazidime, ceftazidime/avibactam, cefepime, imipenem, meropenem, ciprofloxacin, trimethoprim/sulfamethoxazole, gentamicin, amikacin and tigecycline was determined using the Kirby-Bauer disc diffusion method. Detection of bla SCO-1 was established by Illumina WGS and bioinformatic analyses. All the publicly available genomes from K. pneumoniae carrying bla SCO-1 from the American continent were downloaded from the NCBI Isolates browser for assessment of phylogenetic comparisons.

Results: The isolate showed resistance to all the tested antibiotics except for ceftazidime/avibactam, carbapenems and tigecycline. Illumina WGS showed the presence of bla SCO-1 and bla OXA-1, bla SHV-28, bla TEM-1, bla CTX-M-15, as well as genes associated with resistance to quinolones, fosfomycin, aminoglycosides, sulphonamides, trimethoprim and phenicols. Moreover, the isolate was ST307, a high-risk clone of K. pneumoniae usually associated with bla CTX-M-15 and/or carbapenemases. Notwithstanding, the latter were not found on this isolate. Phylogenetic relationships were established by comparisons with 19 K. pneumoniae genomes carrying bla SCO-1 from other countries in the Americas, revealing at least three different clades.

Conclusions: This study highlights the importance of genomic surveillance of uncommon antimicrobial resistance genes such as bla SCO-1, which might contribute to further antimicrobial resistance levels in this country.

Abstract Image

秘鲁肺炎克雷伯菌高危克隆罕见β-内酰胺酶bla SCO-1的检测
背景:bla SCO-1基因是一种少见的β-内酰胺酶,它编码一种卡贝尼illinase。据我们所知,我们报告了秘鲁首例携带bla SCO-1的肺炎克雷伯菌临床高危分离株。目的:对秘鲁利马一家三级医院分离的携带bla SCO-1的肺炎克雷伯菌临床分离物进行特征分析。方法:采用Kirby-Bauer盘片扩散法测定阿莫西林/克拉维酸、阿莫西林/舒巴坦、哌拉西林/他唑巴坦、氨曲南、头孢曲松、头孢噻肟、头孢他啶、头孢他啶/阿维巴坦、头孢吡肟、亚胺培南、美罗培南、环丙沙星、甲氧苄啶/磺胺甲恶唑、庆大霉素、阿米卡星、替加环素的药敏。采用Illumina WGS和生物信息学分析建立bla SCO-1的检测方法。从NCBI分离株浏览器下载了美洲大陆携带bla SCO-1的肺炎克雷伯菌的所有公开基因组,用于系统发育比较评估。结果:该分离株除头孢他啶/阿维巴坦、碳青霉烯类、替加环素外,其余抗菌药物均耐药。Illumina WGS检测到bla co -1、bla OXA-1、bla SHV-28、bla TEM-1、bla CTX-M-15以及与喹诺酮类药物、磷霉素、氨基糖苷类、磺胺类药物、甲氧苄啶和酚类药物耐药相关的基因。此外,该分离物为ST307,是肺炎克雷伯菌的高风险克隆,通常与bla CTX-M-15和/或碳青霉烯酶相关。尽管如此,后者并未在该分离物中发现。通过与来自美洲其他国家携带bla SCO-1的19个肺炎克雷伯菌基因组进行比较,建立了系统发育关系,揭示了至少三个不同的分支。结论:本研究强调了对罕见耐药基因(如bla SCO-1)进行基因组监测的重要性,这可能有助于进一步提高该国的抗微生物药物耐药性水平。
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CiteScore
5.30
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