Article
Update of the molecular epidemiology of KPC-2-producing Klebsiella pneumoniae in Brazil: spread of clonal complex 11 (ST11, ST437 and ST340)
Registro en:
PEREIRA, Polyana Silva; et al. Update of the molecular epidemiology of KPC-2-producing Klebsiella pneumoniae in Brazil: spread of clonal complex 11 (ST11, ST437 and ST340). J Antimicrob Chemother, v.68, p.312 –316, 2013.
0305-7453
10.1093/jac/dks396
1460-2091
Autor
Pereira, Polyana Silva
Araujo, Carlos Felipe Machado de
Seki, Liliana Miyuki
Zahner, Viviane
Assef, Ana Paula D’Alincourt Carvalho
Asensi, Marise Dutra
Resumen
Objectives: To perform molecular epidemiology for 113 KPC-producing Klebsiella pneumoniae isolated in 2010
from 12 Brazilian states.
Methods: The resistance profile was determined by disc diffusion and Etest. Genetic polymorphism was analysed
by PFGE and multilocus sequence typing. The genetic environment of the blaKPC gene was determined
by PCR and identification of the carrier plasmid was determined by hybridization.
Results: Most of the isolates were multidrug resistant, with 15% and 49% being resistant to polymyxin and
tigecycline, respectively. Twenty-two sequence types (STs) were observed, with ST11, ST437 and ST340
[clonal complex 11 (CC11)] being the most prevalent (75% of isolates) observed in 10 states. blaKPC-2 was associated
with transposon Tn4401 ‘b’ and in 36% this gene was found in IncN plasmids of 40 kb.
Conclusions: In Brazil, the spread of blaKPC-2 is occurring due to dispersion of Tn4401 ‘b’, carried by IncN plasmids
of 40 kb, and mainly the dissemination of CC11, with ST437 and ST11 playing an important role.