{"title":"First Report of <i>bla</i><sub>CTX-M-28</sub> in Enterobacteriaceae Isolates in the United Arab Emirates.","authors":"Mubarak Alfaresi, Garwin Kim Sing, Abiola Senok","doi":"10.1155/2018/1304793","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The CTX-M family of extended-spectrum beta lactamase (ESBL) enzymes is comprised of over 60 <i>bla</i><sub>CTX-M</sub> gene variants with the predominance of <i>bla</i><sub>CTX-M-15</sub> in many regions. In this report, we present the first description of <i>bla</i><sub>CTX-M-28</sub> in the United Arab Emirates.</p><p><strong>Methods: </strong>Forty-five non-duplicate ESBL producing isolates identified in a secondary care facility in the United Arab Emirates from June to July 2016 were studied. Gene sequencing was performed and DNA sequences were annotated using the BLAST program to identify the gene subtypes.</p><p><strong>Results: </strong>The majority of the ESBL positive isolates were <i>E. coli</i> (<i>n</i>/<i>N</i> = 39/45; 86.6%) followed by <i>K. pneumoniae</i> (<i>n</i> = 5) and <i>K. oxytoca</i> (<i>n</i> = 1). All isolates harboured <i>bla</i><sub>CTX-M</sub> and <i>bla</i><sub>TEM</sub> genes, 18 had <i>bla</i><sub>SHV</sub>, and 2 were <i>bla</i><sub>VIM</sub> positive. Thirty-seven isolates (82.2%) were positive for <i>bla</i><sub>CTX-M-28</sub>. Other <i>bla</i><sub>CTX-M</sub> genes identified include <i>bla</i><sub>CTX-M-167</sub> (<i>n</i> = 2; isolates #1 and 26) and one each for <i>bla</i><sub>CTX-M-38</sub>, <i>bla</i><sub>CTX-M-163</sub>, and <i>bla</i><sub>CTX-M-198</sub>. No <i>bla</i><sub>CTX-M-15</sub> was identified. The predominant <i>bla</i><sub>TEM</sub> subtype was <i>bla</i><sub>TEM-171</sub> (<i>n</i> = 8) followed by one of each of <i>bla</i><sub>TEM-120</sub>, <i>bla</i><sub>TEM-163</sub>, and <i>bla</i><sub>TEM-206</sub>. The <i>bla</i><sub>SHV</sub> subtypes were <i>bla</i><sub>SHV-148</sub> and <i>bla</i><sub>SHV-187</sub>.</p><p><strong>Conclusion: </strong>The findings indicate the first description of <i>bla</i><sub>CTX-M-28</sub> in a setting where <i>bla</i><sub>CTX-M-15</sub> was previously predominant.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2018-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1304793","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2018/1304793","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 9
Abstract
Background: The CTX-M family of extended-spectrum beta lactamase (ESBL) enzymes is comprised of over 60 blaCTX-M gene variants with the predominance of blaCTX-M-15 in many regions. In this report, we present the first description of blaCTX-M-28 in the United Arab Emirates.
Methods: Forty-five non-duplicate ESBL producing isolates identified in a secondary care facility in the United Arab Emirates from June to July 2016 were studied. Gene sequencing was performed and DNA sequences were annotated using the BLAST program to identify the gene subtypes.
Results: The majority of the ESBL positive isolates were E. coli (n/N = 39/45; 86.6%) followed by K. pneumoniae (n = 5) and K. oxytoca (n = 1). All isolates harboured blaCTX-M and blaTEM genes, 18 had blaSHV, and 2 were blaVIM positive. Thirty-seven isolates (82.2%) were positive for blaCTX-M-28. Other blaCTX-M genes identified include blaCTX-M-167 (n = 2; isolates #1 and 26) and one each for blaCTX-M-38, blaCTX-M-163, and blaCTX-M-198. No blaCTX-M-15 was identified. The predominant blaTEM subtype was blaTEM-171 (n = 8) followed by one of each of blaTEM-120, blaTEM-163, and blaTEM-206. The blaSHV subtypes were blaSHV-148 and blaSHV-187.
Conclusion: The findings indicate the first description of blaCTX-M-28 in a setting where blaCTX-M-15 was previously predominant.
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.