Isolation of three distinct carbapenemase-producing Gram-negative bacteria from a Vietnamese medical tourist

被引:10
|
作者
Honda, Natsue Hosono [1 ,2 ]
Aoki, Kotaro [4 ]
Kamisasanuki, Toshiro [3 ]
Matsuda, Naoto [1 ,2 ]
To, Masako [1 ]
Matsushima, Hisao [3 ]
Ishii, Yoshikazu [4 ]
Haruki, Kosuke [1 ,2 ]
机构
[1] Dokkyo Med Univ, Saitama Med Ctr, Dept Lab Med, 2-1-50 Minami Koshigaya, Koshigaya, Saitama 3438555, Japan
[2] Dokkyo Med Univ, Saitama Med Ctr, Dept Infect Control & Infect Dis, 2-1-50 Minami Koshigaya, Koshigaya, Saitama 3438555, Japan
[3] Dokkyo Med Univ, Saitama Med Ctr, Emergency & Crit Care Med, 2-1-50 Minami Koshigaya, Koshigaya, Saitama 3438555, Japan
[4] Toho Univ, Dept Microbiol & Infect Dis, Fac Med, Tokyo 1438540, Japan
关键词
OXA-48; NDM-1; NDM-5; RmtB; Col156; Medical tourism; PSEUDOMONAS-AERUGINOSA; ESCHERICHIA-COLI; 1ST REPORT; ENTEROBACTERIACEAE;
D O I
10.1016/j.jiac.2019.03.020
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Carbapenem-resistant Klebsiella pneumoniae and Escherichia coli, multidrug-resistant Pseudomonas aeruginosa and vancomycin-resistant Enterococcus faecium were isolated from a single patient. The patient came to Japan for advanced medical treatment after having undergone laparoscopic cholecystectomy and hospitalization in Vietnam. Whole-genome sequence analysis revealed that K. pneumoniae harbored bla(OXA-48) that was found on a Col156 -type small plasmid, E. coli harbored bla(NDM-5) and P. aeruginosa harbored both bla(NDM-1) and 16S rRNA methyltransferase (rmtB). To the best of our knowledge, this is the first report of detection of K. pneumoniae harboring bla(OXA-48) on a Col156-type small plasmid in the world and P. aeruginosa coharboring genes encoding NDM-1 and RmtB in Japan. (C) 2019 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:811 / 815
页数:5
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