Table 2. Phenotypic and genetic features associated with OXA-204-beta-lactamase producing Enterobacteriaceae, France, 2012–14 (n = 29).
Species /clone | Number of isolates | Sequence type | Beta-lactams MIC range (µg/mL) |
Genetic location of blaOXA-204 | Incompatibility group of blaOXA-204-carrying plasmid |
Non-beta-lactam-associated resistance (number of strains) | Associated broad-spectrum beta-lactamasesa (number of strains) | Close genetic environment of the blaOXA-204 gene | ||
---|---|---|---|---|---|---|---|---|---|---|
ERT | IMP | MER | ||||||||
Escherichia coli | ||||||||||
A | 12 | ST90 | 0.38–32 | 0.19–12 | 0.094–6 | Plasmid | IncA/C | Gm (12), Tm (12), Q (12), Tet(12), Sxt (10) | CMY-4 (12), CTX-M-15 (9) | Tn2016 |
B | 1 | ST104 | 0.5 | 0.38 | 0.25 | Plasmid | IncA/C | Tet | CMY-4 | ISEcp1 |
C | 1 | ST617 | 1 | 0.25 | 0.25 | Plasmid | IncA/C | Gm, Tm, Q, Tet, Sxt | CMY-4 | Tn2016 |
D | 1 | ST949 | 0.75 | 0.5 | 0.19 | Plasmid | IncA/C | Q, Tet, Sxt | CMY-4 | ISEcp1 |
Klebsiella pneumoniae | ||||||||||
A | 9 | ST147 | 3– >32 | 1–12 | 1– >32 | Plasmid | IncA/C | Ak (1), Tm (8), Gm (6), Q (9), Tet (9), Sxt (8), Fos (7) | CMY-4 (9), CTX-M-15 (9) | ISEcp1 |
B | 1 | ST1683b | 3 | 0.25 | 0.19 | Plasmid | IncA/C | Gm, Tm, Tet | CMY-4 | Tn2016 |
C | 1 | ST1709b | 1 | 0.25 | 0.12 | Plasmid | IncA/C | Gm, Tm, Tet, Tig | CMY-4 | Tn2016 |
Proteus mirabilis | 1 | ND | 1.5 | 0.38 | 0.094 | Plasmid | IncA/C | Gm, Tm, Sxt | CMY-4 | ISEcp1 |
Citrobacter freundii | 1 | ND | 3 | 1 | 0.5 | Plasmid | IncA/C | Gm, Tm, Q, Tet, Tig | CMY-4 | Tn2016 |
Serratia marcescens | 1 | ND | 0.75 | 0.75 | 0.5 | Plasmid | IncA/C | Gm, Tm, Tet, Tig | CMY-4 | Tn2016 |
Ak: amikacin; ERT: ertapenem; Fos: fosfomycin; Gm: gentamicin; IMP: imipenem; MER: meropenem; MIC: minimum inhibitory concentration; ND: not determinable; Q: quinolones; Sxt: sulfamethoxazole-trimethoprim; Tet: tetracycline; Tig: tigecycline; Tm: tobramycin.
a Resistance markers co-harboured on the bla OXA-204-carrying plasmid are underlined.
b ST1683 ad ST1709 are new sequence types.