TABLE 5.
Molecular characteristics of the 34 extended-spectrum cephalosporin- and carbapenem-resistant isolates.
Strain | Pathology | Sequence type | Phylogroup | Phenotype | Beta-lactamase enzyme | Associated resistances | Virulence profiles |
A14 | UTI | 191 | A | AmpC | CMY-2 | None | fimH |
A08 | UTI | NT | B2 | AmpC | CMY-2 | CHL, TET, SUL, TMP, NAL | fimH, iutA, iroN |
B03 | UTI | 4,608 | D | AmpC | CMY-2 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, iroN, iss, fuyA |
C05 | Unknown | 12 | B2 | AmpC | CMY-2 | None | fimH, cnf1, focG, papA, hlyD, iroN, ibeA, fuyA |
D08 | UTI | 372 | B2 | AmpC | CMY-2 | None | fimH, focG, ibeA, fuyA |
D09 | Reproductive tract | 1,706 | B1 | AmpC | CMY-2 | None | fimH |
E03 | UTI | 297 | B1 | AmpC | CMY-2 | STR, SUL, TMP | fimH |
F06 | UTI | 4,608 | D | AmpC | CMY-2 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | papA, iutA, iss |
F10 | UTI | 12 | B2 | AmpC | CMY-2 | STR, KAN, CHL, SUL, NAL | fimH, cnf1, papA, hlyD, iroN, fuyA |
I54 | Unknown | 141 | B2 | AmpC | CMY-2 | STR, CHL, TET, SUL | fimH, cnf1, papA, hlyD, iroN, fuyA |
I58 | Otitis | 162 | B1 | AmpC | CMY-2 | STR, TET, SUL, NAL, ENR | fim, fuyA |
K26 | UTI | 212 | B1 | AmpC | CMY-2 | None | fimH |
N19 | Digestive | NT | B2 | AmpC | CMY-2 | None | focG, fimH, fuyA |
Q05 | UTI | 4,608 | D | AmpC | CMY-2 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, iroN, fuyA |
Q29 | Digestive | 1,011 | D | AmpC | CMY-2 | STR, TET, SUL, TMP, NAL, ENR | fimH, iroN, ibeA |
R07 | UTI | 2,015 | B2 | AmpC | CMY-2 | None | fimH, cnf1, kpsMII, papA, iroN, ibeA, fuyA |
T11 | UTI | 68 | D | AmpC | CMY-2 | NAL | kpsMII, fimH, fuyA |
X25 | UTI | 372 | B2 | AmpC | CMY-2 | None | fimH, cnf1, focG, papA, sfaS, hlyD, fuyA |
Z01 | Respiratory | 12 | B2 | AmpC | CMY-2 | None | fimH, cnf1, focG, papA, hlyD, iroN, fuyA |
T12 | Respiratory | 1,485 | D | Carbapenemase | OXA-48 | STR, TET, SUL, TMP | kpsMII, fimH |
B04 | UTI | 410 | A | ESBL | CTX-M-153 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, fuyA |
B11 | UTI | 648 | D | ESBL | CTX-M-3 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, kpsMII, iutA |
C17 | UTI | 131 | B2 | ESBL | CTX-M-27 | NAL, ENR | fimH, kpsMII, iutA |
E08 | UTI | 410 | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | papA, iutA |
H20 | UTI | 90 | A | ESBL | CTX-M-27 | STR, TET, SUL, TMP, NAL, ENR | fimH |
I47 | UTI | 372 | B2 | ESBL | CTX-M-15 | CHL | kpsMII, iutA, ibeA, fuyA |
N01 | UTI | 410 | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, ibeA, fuyA |
N11 | UTI | 410 | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, fuyA |
N20 | UTI | 410 | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, NAL, ENR | cnf1, papA, hlyD, iutA, fuyA |
P24 | UTI | 23 | A | ESBL | CTX-M-1 | TET, SUL, TMP | fimH, iutA, iroN, ibeA |
T01 | UTI | 410 | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, iroN, fuyA |
T03 | Reproductive tract | NT | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, kpsMII, papA, hlyD, iutA, iroN, ibeA, fuyA |
T13 | UTI | 648 | D | ESBL | CTX-M-15 | KAN, TET, NAL, ENR | kpsMII, papA, afa, hlyD, iutA, iroN, ibeA, fuyA |
Z09 | UTI | 410 | A | ESBL | CTX-M-15 | STR, KAN, GEN, CHL, TET, SUL, TMP, NAL, ENR | fimH, cnf1, papA, hlyD, iutA, fuyA |
UTI: urinary tract infection. 1Antibiotics: STR, streptomycin; KAN, kanamycin; GEN, gentamicin; CHL, chloramphenicol; TET, tetracycline; SUL, sulfonamides; TMP, trimethoprim; NAL, nalidixic acid, ENR, enrofloxacin. 2The A08 isolate is a fumC variant of ST58; N19 is a gyrB variant of ST372; T03 is a purA variant of ST410. 3In bold are all isolates that are chromosomally encoded as shown by Southern blots on I-CeuI PFGE.