Table 4. Distribution of isolates, STs, NG-MAST types, resistance profiles and resistance genes and mutations at the seven sentinel sites. The genetic resistance mechanisms for all the isolates from each site are listed.
| Laboratory | No. of isolates | STs (no. of isolates) | NG-MAST types (no. of isolates) |
Resistance profile ± (no. of isolates) | Resistance genes and SNPs |
|---|---|---|---|---|---|
| CVM | 1 | 8780 | Novel | PEN CIP TCY | blaTEM, penA_ins346D, ponA1_L421P, mtrR_A39T, gyrA_S91F, gyrA_D95A, parC_S87N, tetM, rpsJ-V57M |
| DMC | 1 | 1903 | Novel | PEN CIP TCY |
penA_ins346D, ponA1_L421P, porB1b_A121D, mtrR_promoter_ –57delA, gyrA_D95G, gyrA_S91F, parC_S87N, parC_E91K, tetM, rpsJ-V57M |
| EVR | 1 | 1582 | 13 796 | PEN CIP | blaTEM, penA_ins346D, mtrR_A39T, gyrA_D95G, gyrA_S91F, rpsJ-V57M |
| MMH | 2 | 11 956, 11 208 | 1631, novel | PEN CIP | blaTEM, penA_ins346D, mtrR_A39T, porB1b_A121D, porB1b_G120K, gyrA_D95G, gyrA_S91F, parC_D86N, rpsJ_V57M |
| NMC | 1 | 1588 | Novel | PEN CIP TCY | blaTEM, penA_ins346D, mtrR_A39T, ponA1_L421P, gyrA_S91F, gyrA_D95A tetM, rpsJ-V57M |
| VSM | 11 | 8133 (2), 9 364 (2), 10 316 (1), 1 587 (1), 11 431 (1), 11 963 (1), 1 582 (1), 11 956 (1), 15 234 (1) |
2187(2), 1 691 (1), 1 498 (1),1797 (1), novel (6) | PEN CIP (4) PEN CIP TCY (4) CIP TCY (1) PEN (2) |
blaTEM, penA_ins346D, mtrR_disrupted, mtrR_A39T, ponA1_L421P, porB1b_A121D, porB1b_G120K, gyrA_D95G, gyrA_D95A, gyrA_S91F, parC_D86N, parC_S87N, parC_E91K, tetM, rpsJ-V57M |
| ZPH | 4 | 10 316 (2), 9 364 (1), 8 130 (1) | 2080 (1), 11 821 (1), novel (2) | PEN CIP TCY (3) PEN CIP (1) |
blaTEM, mtrR_disrupted, mtrR_A39T, porB1b_A121D, gyrA_D95G, gyrA_D95A, gyrA_S91F, parC_D86N, parC_S87N, parC_E91K, tetM, rpsJ-V57M |
CVM: Cagayan Valley Medical Center; DMC: Southern Philippines Medical Center; EVR: Eastern Visayas Regional Medical Center; MMH: Corazon Locsin Montelibano Memorial Regional Hospital; NMC: Northern Mindanao Medical Center; VSM: Vicente Sotto Memorial Medical Center; ZPH: Zamboanga Del Norte Medical Center
PEN: penicillin, CIP: ciprofloxacin, TCY: tetracycline