Table 1. Molecular characterisation of AMR determinants and strain types, national antimicrobial resistance surveillance system Kor-GLASS, South Korea.
Species | AMR determinants | Epidemiological markers |
---|---|---|
Staphylococcus aureus | • Meticillin-resistance gene PCR (mecA/mecC) • SCCmec typing • agr polymorphism typing |
• MLST • spa-typing |
Enterococcus faecalis
E. faecium |
• Glycopeptide-resistance gene PCR (vanA/vanB/vanM) • Tn1546 analysis |
• MLST • Plasmid analysis (replicon typing) |
Escherichia coli
Klebsiella pneumoniae |
• ESBL gene PCR and sequencing (bla
CTX-M-1, bla
CTX-M-9, bla
CTX-M-2, bla
CTX-M25, bla
TEM, bla
SHV) • AmpC β-lactamase PCR and sequencing (bla DHA, bla CMY-1, bla CMY-2, bla ACT, bla ACC, bla FOX) • Carbapenemase gene PCR and sequencing (bla KPC, bla NDM, bla OXA-48, bla VIM, bla IMP, bla GES) • Mobile colistin resistance gene PCR (mcr-1/-2) |
• MLST • Plasmid analysis (replicon typing) |
Pseudomonas aeruginosa | Carbapenemase gene PCR and sequencing (bla KPC, bla NDM, bla OXA-48, bla VIM, bla IMP, bla GES) | • Class 1 integron • MLST |
Acinetobacter spp. | • Carbapenemase PCR and sequencing (bla OXA-23/-24/-51/-58, bla KPC, bla NDM, bla OXA-48, bla VIM, bla IMP, bla GES) | • Transposon • MLST |
Salmonella spp. Shigella spp. |
• CTX-M ESBL PCR and sequencing (bla
CTX-M-1, bla
CTX-M-9, bla
CTX-M-2, bla
CTX-M-25) • Fluoroquinolone resistance gene PCR and sequencing (repA, gyrA, parC) |
NA |
Neisseria gonorrhoeae | • Cephalosporin-resistance gene analysis (penA) • Spectinomycin-resistance gene PCR and sequencing (16S rRNA, rpsE, 23S rRNA) • Azithromycin-resistance gene PCR (ermB, ermC, ermF, mef) |
• NG-MAST • MLST |
AMR: antimicrobial resistance; ESBL: extended-spectrum beta-lactamase; MLST: multilocus sequence typing; NA: not applicable; NG-MAST: Neisseria gonorrhoeae multi-antigen sequence typing.