We report the isolation of a bla-positive, tigecycline-resistant Klebsiella aerogenes strain KA04 from a Chinese inpatient's fecal sample. Species identification was performed using MALDI-TOF MS. The antibiotic susceptibilities were assessed via the broth microdilution method. To elucidate the transmission and genetic structure of the bla gene, conjugation assays and whole-genome sequencing (WGS) were performed. KA04 displayed resistance to carbapenems, quinolones, piperacillin/tazobactam and tigecycline. Through WGS and conjugation experiments, it was possible to confirm bla and qnrS1 genes causing antibiotic resistance were located on a 51-kb IncX3 type mobile plasmid, bla gene could be successfully transferred into E. coli EC600 at a conjugation frequency of 1.1 × 10. tet(A) gene was located on both the chromosome and non-transmissible IncFIB(K) plasmid. This is a tigecycline-resistant K. aerogenes harboring bla isolate from human fecal sample, highlighting a significant public health concern. Further comprehensive surveillance is needed.
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http://dx.doi.org/10.1007/s42770-024-01524-6 | DOI Listing |
Curr Microbiol
December 2024
Medical School of Chinese PLA, Beijing, China.
Tigecycline is one of the last-resort treatment options for infections caused by carbapenem-resistant Klebsiella pneumoniae (KP). Unfortunately, tigecycline resistance is increasingly reported and causes an unprecedented public health crisis worldwide. Although studies on tigecycline resistance are expanding, the underlying mechanisms are not fully understood.
View Article and Find Full Text PDFMicrob Drug Resist
December 2024
School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Japan.
Tigecycline is a last-resort antimicrobial in humans. Tetracyclines are the most widely used antimicrobials in livestock. Mobile tigecycline resistance genes [] are disseminated worldwide, and tetracycline use may have promoted the selection of genes.
View Article and Find Full Text PDFJ Antimicrob Chemother
January 2025
Antimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.
Environ Int
November 2024
Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China. Electronic address:
Braz J Microbiol
October 2024
Department of Clinical Laboratory, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, No. 365, East renmin Rd, Zhejiang, Jinhua, People's Republic of China.
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