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Antimicrobial susceptibility profiles of BKCproducing K. It is important to note that such new studies must search for bla BKC-1 using molecular techniques, since phenotypic tests may not accurately detect BKCproducing isolates 8. Author information Article notes Copyright and License information Disclaimer. The principal objective of 50446 study was to evaluate the frequency of bla BKC-1 by testing a collection of Klebsiella isolates.

A total of Klebsiella strains collected from previous surveillance studies were randomly selected for this study, in order to represent distinct Brazilian geographic regions.

The bla BKC-1 gene was inserted into a kb plasmid that was identical to the previously reported plasmid, p Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically; approved standard— 10th ed Jm document MA Santosb Jorge L.

Performance standards for antimicrobial susceptibility testing; 25th informational supplement. To determine whether this plasmid was identical to p, the first plasmid identified as carrying bla BKC-1we performed whole-plasmid sequencing of the plasmid recovered from KpnJ. The two BKCproducing isolates belonged to clonal complex and possessed identical pulsed-field gel electrophoresis patterns.

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Antimicrobial susceptibility testing was performed by the broth microdilution method, according to CLSI guidelines 45. A Map of Brazil, showing the geographic distribution of Klebsiella isolates that were investigated for the bla BKC-1 gene. Clinical and Laboratory Standards Institute. To evaluate the stability of p harbored by the Kpn isolate, we performed serial passages of the Kpn isolate on Jccm agar plates without the addition of antibiotic.

Journal List Antimicrob Agents Chemother v. BKC-1 Brazilian Klebsiella carbapenemase is a class A serine carbapenemase that was recently identified in Klebsiella pneumoniae isolates from Brazil that belonged to sequence type ST clonal complex [CC] 2.

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More studies with greater numbers of isolates from all Brazilian states are necessary to assess the real prevalence of isolates carrying bla BKC Initially, we performed transformation by electroporation into Escherichia coli Top Since BKC-1 is a weak carbapenemase and other mechanisms could be associated with carbapenemase production, we selected Klebsiella strains independent of the resistance phenotype.

For comparison purposes, the first reported BKC-producing strains, i. In the past decade, carbapenemase-encoding genes such as bla KPC-likebla OXAand bla NDM-like jccm emerged as the main mechanisms of carbapenem resistance in Enterobacteriaceae.

Please review our privacy policy. The Klebsiella 5064 were isolated from different clinical specimens obtained between and Fig. Comparison of phenotypic tests for detecting BKCproducing Enterobacteriaceae isolates. Only 2 BKCproducing K. These data might suggest that, although genetically related, the isolates were probably subjected to distinct selective pressures, which could have resulted in different OMP modifications.

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National Center for Biotechnology InformationU. J Antimicrob Chemother Transformant cells were selected on LB agar plates supplemented with 0.

Carbapenemase-producing Klebsiella pneumoniae, a key pathogen set for global nosocomial dominance. Martinsa 0546 G. This article has been cited by other articles in PMC. S, sensitive; R, resistant.

Multilocus sequence typing of Klebsiella pneumoniae nosocomial isolates. Support Center Support Center. Among the Klebsiella strains, The mgrB gene as a key target for acquired resistance to colistin in Klebsiella pneumoniae. Abstract BKC-1 is a new class A serine carbapenemase that was recently identified in Klebsiella pneumoniae clinical isolates.

During the experiments, it was observed that bla BKC-1 was easily lost in the absence of selective pressure. The Kpn and KpnJ strains showed different plasmid profiles. Kpn showed susceptibility to tigecycline MIC, 0.

Only 2 of Klebsiella isolates 0. In conclusion, prudent use of antimicrobials and strict adherence to infection control measures seem to be the only effective tools for preventing the acquisition and spread of new carbapenemase-encoding genes. BKC-1 is a new class A serine carbapenemase that was recently identified in Klebsiella pneumoniae clinical isolates.

Diagn Microbiol Infect Dis Frequency of BKCproducing Klebsiella species isolates.