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Journal ArticleDOI

Characterization of NDM-7 Carbapenemase-Producing Escherichia coli Isolates in the Arabian Peninsula.

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TLDR
Findings show that IncX3 type plasmids play an important role in the spread of the currently rare NDM-7 variant in the Arabian Peninsula, and this association of blaNDM-7 with the Incx3-type plasmid is particularly worrisome.
Abstract
Aim: The purpose of this study was to characterize the New Delhi metallo-beta lactamase (NDM)-7-producing Enterobacteriaceae isolated in the Arabian Peninsula. Methods: Enterobacteriaceae identified to carry blaNDM-7 in a collection of 157 NDM-producing isolates from Kuwait, Oman, Saudi Arabia, and the United Arab Emirates (UAE) were investigated for their antibiotic and disinfectant susceptibility, and resistance gene content. The virulence profile, phylogenetic and sequence types of the isolates were also determined. The plasmids carrying the blaNDM-7 were transferred, and their complete nucleotide sequence was determined. Results: Four NDM-7-producing Escherichia coli isolated in Kuwait, Oman, and the UAE, respectively, were identified. They were clonally unrelated, carried a few virulence determinants only, and belonged to clonal complexes CC10 and CC23, or ST448. They were all multi-drug resistant but remained susceptible to fosfomycin, tigecycline, and colistin. In all isolates, blaNDM-7 was located...

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Citations
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Journal ArticleDOI

Plasmids carrying antimicrobial resistance genes in Enterobacteriaceae

TL;DR: The purpose of this review is to provide an overview of all known AMR-related plasmid families in Enterobacteriaceae, the resistance genes they carry and their geographical distribution.
Journal ArticleDOI

Understanding the Epidemiology of Multi-Drug Resistant Gram-Negative Bacilli in the Middle East Using a One Health Approach.

TL;DR: The need to have global intervention measures to avoid dissemination of antibiotic resistance in humans, animals and the environment in Middle Eastern countries is re-emphasized.
Journal ArticleDOI

Epidemic IncX3 plasmids spreading carbapenemase genes in the United Arab Emirates and worldwide.

TL;DR: The findings suggest that different carbapenemase gene carrying IncX3 plasmids encountered in the UAE do not evolve locally, rather are subtypes of this epidemic plasmid emerging in this country due to international transfer.
Journal ArticleDOI

Occurrence of blaNDM Variants Among Enterobacteriaceae From a Neonatal Intensive Care Unit in a Northern India Hospital.

TL;DR: An increased number of carbapenem-resistant NDM producing enterobacteriaceae isolates recovered from NICU which is alarming signal for health workers and policy makers is alarmed signal and it is utmost important to think about infection control measures.
Journal ArticleDOI

Characterization of NDM-Encoding Plasmids From Enterobacteriaceae Recovered From Czech Hospitals

TL;DR: Analysis of plasmid sequences revealed that IncX3 plasmids have played a major role in the dissemination of blaNDM-like genes in Czech hospitals, and in combination with further evolvement of NDM-like-encoding MDR plasids through reshuffling, N DM-like producers pose an important public threat.
References
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Journal ArticleDOI

In Silico Detection and Typing of Plasmids using PlasmidFinder and Plasmid Multilocus Sequence Typing

TL;DR: Two easy-to-use Web tools for in silico detection and characterization of whole-genome sequence (WGS) and whole-plasmid sequence data from members of the family Enterobacteriaceae are designed and developed.
Journal ArticleDOI

Rapid and simple determination of the Escherichia coli phylogenetic group.

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Journal ArticleDOI

Sex and virulence in Escherichia coli: an evolutionary perspective

TL;DR: The evolution of virulence is linked to bacterial sex because rates of evolution have accelerated in pathogenic lineages, culminating in highly virulent organisms whose genomic contents are altered frequently by increased rates of homologous recombination.
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Extended Virulence Genotypes of Escherichia coli Strains from Patients with Urosepsis in Relation to Phylogeny and Host Compromise

TL;DR: These findings provide novel insights into the VFs of extraintestinal pathogenic E. coli and demonstrate the new PCR assay's utility for molecular epidemiological studies.
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Global spread of antibiotic resistance: the example of New Delhi metallo-β-lactamase (NDM)- mediated carbapenem resistance

TL;DR: The spread of NDM illustrates that antibiotic resistance is a public health problem that transcends national borders and will require international cooperation between health authorities if it is to be controlled.
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