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. 1976 Jun;9(6):866–873. doi: 10.1128/aac.9.6.866

Multiresistant Plasmids from Pseudomonas aeruginosa Highly Resistant to Either or Both Gentamicin and Carbenicillin

Polyxeni Kontomichalou 1, Efstathia Papachristou 1, Fevronia Angelatou 1
PMCID: PMC429641  PMID: 820245

Abstract

High-level resistance to gentamicin and carbenicillin was found in 30 and 10.7%, respectively, of Pseudomonas aeruginosa strains, especially in isolates from urine. In 23 out of 25 strains tested, these resistances were R mediated and linked to multiresistant plasmids, carrying genes for resistances to five other aminoglycosides, tobramycin, kanamycin, neomycin, streptomycin, and spectinomycin, and for resistances to chloramphenicol, tetracycline, sulfonamides, and mercury chloride. Carbenicillin resistance was unstable in Pseudomonas, and in its presence the multiresistant plasmids had a host range extended to the Enterobacteriaceae (group I plasmids). Otherwise they were transferable intragenerically only (group II plasmids). The extended host range plasmids were, as a rule, in fi incompatibility class A–C. Segregants incompatible with both class A–C and P plasmids were detected. The β-lactamase specified by the carbenicillin marker was of the TEM-like type. Multiple linkages of resistance determinants to the aminoglycosides were concomitantly present in most of the plasmids. Results from the bioassay indicated the presence of at least two aminoglycoside-inactivating enzymes.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Benveniste R., Davies J. Mechanisms of antibiotic resistance in bacteria. Annu Rev Biochem. 1973;42:471–506. doi: 10.1146/annurev.bi.42.070173.002351. [DOI] [PubMed] [Google Scholar]
  2. Benveniste R., Davies J. R-factor mediated gentamicin resistance: A new enzyme which modifies aminoglycoside antibiotics. FEBS Lett. 1971 May 20;14(5):293–296. doi: 10.1016/0014-5793(71)80282-x. [DOI] [PubMed] [Google Scholar]
  3. Black W. A., Girdwood R. W. Carbenicillin resistance in Pseudomonas aeruginosa. Br Med J. 1969 Oct 25;4(5677):234–234. doi: 10.1136/bmj.4.5677.234-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bryan L. E., Semaka S. D., Van den Elzen H. M., Kinnear J. E., Whitehouse R. L. Characteristics of R931 and other Pseudomonas aeruginosa R factors. Antimicrob Agents Chemother. 1973 May;3(5):625–637. doi: 10.1128/aac.3.5.625. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bryan L. E., Shahrabadi M. S., van den Elzen H. M. Gentamicin resistance in Pseudomonas aeruginosa: R-factor-mediated resistance. Antimicrob Agents Chemother. 1974 Aug;6(2):191–199. doi: 10.1128/aac.6.2.191. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bryan L. E., Van Den Elzen H. M., Tseng J. T. Transferable drug resistance in Pseudomonas aeruginosa. Antimicrob Agents Chemother. 1972 Jan;1(1):22–29. doi: 10.1128/aac.1.1.22. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Chabbert Y. A., Scavizzi M. R., Witchitz J. L., Gerbaud G. R., Bouanchaud D. H. Incompatibility groups and the classification of fi - resistance factors. J Bacteriol. 1972 Nov;112(2):666–675. doi: 10.1128/jb.112.2.666-675.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Chitkara Y. K. Transferable drug resistance in Pseudomonas aeruginosa and other gram-negative organisms in burns. Am J Clin Pathol. 1973 Feb;59(2):211–215. doi: 10.1093/ajcp/59.2.211. [DOI] [PubMed] [Google Scholar]
  9. Datta N., Hedges R. W., Shaw E. J., Sykes R. B., Richmond M. H. Properties of an R factor from Pseudomonas aeruginosa. J Bacteriol. 1971 Dec;108(3):1244–1249. doi: 10.1128/jb.108.3.1244-1249.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Datta N., Lawn A. M., Meynell E. The relationship of F type piliation and F phage sensitivity to drug resistance transfer in R+F- Escherichia coli K 12. J Gen Microbiol. 1966 Nov;45(2):365–376. doi: 10.1099/00221287-45-2-365. [DOI] [PubMed] [Google Scholar]
  11. Fullbrook P. D., Elson S. W., Slocombe B. R-factor mediated beta-lactamase in Pseudomonas aeruginosa. Nature. 1970 Jun 13;226(5250):1054–1056. doi: 10.1038/2261054a0. [DOI] [PubMed] [Google Scholar]
  12. Gilardi G. L. Characterization of nonfermentative nonfastidious gram negative bacteria encountered in medical bacteriology. J Appl Bacteriol. 1971 Sep;34(3):623–644. doi: 10.1111/j.1365-2672.1971.tb02326.x. [DOI] [PubMed] [Google Scholar]
  13. Hedges R. W., Datta N., Kontomichalou P., Smith J. T. Molecular specificities of R factor-determined beta-lactamases: correlation with plasmid compatibility. J Bacteriol. 1974 Jan;117(1):56–62. doi: 10.1128/jb.117.1.56-62.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Hedges R. W. R factors from Providence. J Gen Microbiol. 1974 Mar;81(1):171–181. doi: 10.1099/00221287-81-1-171. [DOI] [PubMed] [Google Scholar]
  15. Holloway B. W. Genetics of Pseudomonas. Bacteriol Rev. 1969 Sep;33(3):419–443. doi: 10.1128/br.33.3.419-443.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Holmes R. K., Minshew B. H., Gould I. K., Sanford J. P. Resistance of Pseudomonas aeruginosa to gentamicin and related aminoglycoside antibiotics. Antimicrob Agents Chemother. 1974 Sep;6(3):253–262. doi: 10.1128/aac.6.3.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Iyobe S., Hasuda K., Fuse A., Mitsuhashi S. Demonstration of R factors from Pseudomonas aeruginosa. Antimicrob Agents Chemother. 1974 Jun;5(6):547–552. doi: 10.1128/aac.5.6.547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Jacoby G. A. Properties of R plasmids determining gentamicin resistance by acetylation in Pseudomonas aeruginosa. Antimicrob Agents Chemother. 1974 Sep;6(3):239–252. doi: 10.1128/aac.6.3.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Kabins S., Nathan C., Cohen S. Gentamicin-adenylyltransferase activity as a cause of gentamicin resistance in clinical isolates of Pseudomonas aeruginosa. Antimicrob Agents Chemother. 1974 Jun;5(6):565–570. doi: 10.1128/aac.5.6.565. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Kawabe H., Kondo S., Umezawa H., Mitsuhashi S. R factor-mediated aminoglycoside antibiotic resistance in Pseudomonas aeruginosa: a new aminoglycoside 6'-N-acetyltransferase. Antimicrob Agents Chemother. 1975 May;7(5):494–499. doi: 10.1128/aac.7.5.494. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Kawakami Y., Mikoshiba F., Nagasaki S., Matsumoto H., Tazaki T. Prevalence of Pseudomonas aeruginosa strains possessing R factor in a hospital. J Antibiot (Tokyo) 1972 Oct;25(10):607–609. doi: 10.7164/antibiotics.25.607. [DOI] [PubMed] [Google Scholar]
  22. Knothe H., Krcméry V., Sietzen W., Borst J. Transfer of gentamicin resistance from Pseudomonas aeruginosa strains highly resistant to gentamicin and carbenicillin. Chemotherapy. 1973;18(4):229–234. doi: 10.1159/000221266. [DOI] [PubMed] [Google Scholar]
  23. Kontomichalou P. M., Papachristou E. G., Levis G. M. R-mediated beta-lactamases and episomal resistance to the beta-lactam drugs in different bacterial hosts. Antimicrob Agents Chemother. 1974 Jul;6(1):60–72. doi: 10.1128/aac.6.1.60. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Korfhagen T. R., Loper J. C., Ferrel J. A. Pseudomonas aeruginosa R factors determining gentamicin plus carbenicillin resistance from patients with urinary tract colonizations. Antimicrob Agents Chemother. 1975 Jan;7(1):64–68. doi: 10.1128/aac.7.1.64. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Lowbury E. J., Lilly H. A., Kidson A., Ayliffe G. A., Jones R. J. Sensitivity of Pseudomonas aeruginosa to antibiotics: emergence of strains highly resistant to carbenicillin. Lancet. 1969 Aug 30;2(7618):448–452. doi: 10.1016/s0140-6736(69)90163-9. [DOI] [PubMed] [Google Scholar]
  26. Nisioka T., Mitani M., Clowes R. C. Molecular recombination between R-factor deoxyribonucleic acid molecules in Escherichia coli host cells. J Bacteriol. 1970 Jul;103(1):166–177. doi: 10.1128/jb.103.1.166-177.1970. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Novick R. P. Extrachromosomal inheritance in bacteria. Bacteriol Rev. 1969 Jun;33(2):210–263. doi: 10.1128/br.33.2.210-263.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Saunders J. R., Grinsted J. Properties of RP4, an R factor which originated in Pseudomonas aeruginosa S8. J Bacteriol. 1972 Nov;112(2):690–696. doi: 10.1128/jb.112.2.690-696.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Schottel J., Mandal A., Clark D., Silver S., Hedges R. W. Volatilisation of mercury and organomercurials determined by inducible R-factor systems in enteric bacteria. Nature. 1974 Sep 27;251(5473):335–337. doi: 10.1038/251335a0. [DOI] [PubMed] [Google Scholar]
  30. Smith D. H., Armour S. E. Transferable R factors in enteric bacteria causing infection of the genitourinary tract. Lancet. 1966 Jul 2;2(7453):15–18. doi: 10.1016/s0140-6736(66)91745-4. [DOI] [PubMed] [Google Scholar]
  31. Stanier R. Y., Palleroni N. J., Doudoroff M. The aerobic pseudomonads: a taxonomic study. J Gen Microbiol. 1966 May;43(2):159–271. doi: 10.1099/00221287-43-2-159. [DOI] [PubMed] [Google Scholar]
  32. Stanisich V. A. The properties and host range of male-specific bacteriophages of Pseudomonas aeruginosa. J Gen Microbiol. 1974 Oct;84(2):332–342. doi: 10.1099/00221287-84-2-332. [DOI] [PubMed] [Google Scholar]
  33. Sykes R. B., Richmond M. H. Intergeneric transfer of a beta-lactamase gene between Ps. aeruginosa and E. coli. Nature. 1970 Jun 6;226(5249):952–954. doi: 10.1038/226952a0. [DOI] [PubMed] [Google Scholar]
  34. Van Rensburg A. J., De Kock M. J. A new R factor from Pseudomonas aeruginosa. J Gen Microbiol. 1974 May;82(1):207–208. doi: 10.1099/00221287-82-1-207. [DOI] [PubMed] [Google Scholar]
  35. Witchitz J. L., Chabbert Y. A. Résistance transférable à la gentamicine I. Expression du caractère de résistance. Ann Inst Pasteur (Paris) 1971 Dec;121(6):733–742. [PubMed] [Google Scholar]
  36. Yamaguchi M., Mitsuhashi S., Kobayashi F., Zenda H. A 2'-N-acetylating enzyme of aminoglycosides. J Antibiot (Tokyo) 1974 Jul;27(7):507–515. doi: 10.7164/antibiotics.27.507. [DOI] [PubMed] [Google Scholar]

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