A VIM-1 positive strain in a near-drowning patient: evidence for interspecies plasmid transfer within the patient.

Future Microbiol

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medical Microbiology & Infection Control, Amsterdam, The Netherlands.

Published: September 2019

To show that a strain of became resistant to carbapenems by interspecies transfer of a plasmid using long-read sequencing. Whole genome sequencing of the four isolates was done using Illumina Hiseq, while the plasmid was reconstructed using the MinION sequencer. The resistome was identified with ResFinder. Whole genome sequencing and long-read sequencing showed that all isolates carried a VIM-1 gene located on a 165 kb incA/C plasmid. ResFinder confirmed that the resistome of the plasmid, comprising 13 resistance genes, was identical within all isolates. Long-read sequencing using the MinION successfully reconstructed a plasmid that was identical in all isolates, providing evidence for horizontal gene transfer of this VIM-1 gene carrying plasmid within the patient.

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http://dx.doi.org/10.2217/fmb-2019-0091DOI Listing

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