A total of 11 multidrug-resistant clinical isolates were obtained in Nepal. Four of these isolates harbored genes encoding one or more carbapenemases (DIM-1, NDM-1, and/or VIM-2), and five harbored genes encoding a 16S rRNA methyltransferase (RmtB4 or RmtF2). A novel RmtF variant, RmtF2, had a substitution (K65E) compared with the same gene in RmtF. To our knowledge, this is the first report describing carbapenemase- and 16S rRNA methyltransferase-coproducing clinical isolates in Nepal.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571325PMC
http://dx.doi.org/10.1128/AAC.00694-17DOI Listing

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