Table 2.
ST, carbapenemase, antimicrobial susceptibility testing, and mutational ß-lactam resistance genotype of imipenem/relebactam-resistant and susceptible K. pneumoniae
| Strain no.* | ST | CP | MIC (mg/L) | ß-lactam resistance genotype† | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEM | AK | CIP | COL | TIG | IPM | IMR | CZA | ß-lactalactamase | OmpK351 | OmpK36 | OmpK372 | AcrAB-TolC (RamR) | PBP13 | PBP24 | |||
| 2015351 | 258 | KPC-3 | >64 | >32 | >2 | 0.25 | 1 | >64 | 4 | 4 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 20171161 | 512 | KPC-3 | 16 | 16 | >2 | 2 | 1 | 8 | 4 | 0.5 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 20190807 | 512 | KPC-3 | >64 | >32 | >2 | >16 | >2 | >64 | 4 | 8 | SHV-11 | wt | wt | mut | wt | mut | mut |
| 20190822 | 512 | KPC-3 | >64 | >32 | >2 | >16 | 2 | >64 | 4 | 4 | SHV-11, TEM-1 | wt | wt | mut | wt | mut | mut |
| 2016080 | 258 | KPC-3 | 8 | >32 | >2 | 0.5 | 1 | 8 | 0.06 | 1 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 2017964 | 512 | KPC-3 | >64 | >32 | >2 | 1 | 2 | 64 | 0.125 | 8 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 20180393 | 512 | KPC-3 | >64 | >32 | >2 | >16 | 1 | 64 | 0.25 | 2 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 20180260 | 512 | KPC-3 | >64 | >32 | >2 | >16 | 2 | >64 | 0.5 | 4 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 20180214 | 512 | KPC-3 | >64 | >32 | >2 | >16 | 2 | >64 | 1 | 8 | SHV-11 | mut | wt | mut | wt | mut | mut |
| 2016252 | 512 | KPC-23 | >64 | >32 | >2 | 1 | 2 | 64 | 2 | 8 | SHV-11, TEM-1 | mut | wt | mut | wt | mut | mut |
MEM meropenem, AK amikacin, CIP ciprofloxacin, COL colistin, TIG tigecycline, IMP imipenem, IMR imipenem/relebactam, CZA ceftazidime/avibactam, PBP penicillin binding protein, mut mutation detected, wt wild type
*One susceptible isolate has been included for each MIC value obtained
†K. pneumoniae ATCC10031 was used as reference to compared porin, PBPs, and efflux bomb aminoacid sequences
1M2_Y36del, G37E, M39W, V40S
2N230G, M233Q, M233_T234insHYTH, Q235E, T236R, N238Y, R240K, E244D, N247S, D275T, D275_G276insSSTNGG, V277I
3I17V, V296_P297insPAQ, V297P, H657R, S662R
4D98G, T348S, G515S