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Microbiology SpectrumMicrobiologyPeer-reviewed journal article

Identification of plasmid-mediated tigecycline resistance tet(x4) and New Delhi Metallo-β-lactamase (NDM) in an Escherichia coli isolate from Canada

Laura F. MatasejeiD, Nicole A. LerminiauxiD, Allison McGeeriD, Jennie JohnstoneiD, Susan Marie PoutaneniD, Erin McGilliD, Yves LongtiniD, on behalf of Canadian Nosocomial Infection Surveillance Program (CNISP)

PDFDOIPreprint

Abstract

SynopsisRapid spread of carbapenemase producing Enterobacterales is a global health threat for which Tigecycline is one of the few remaining therapeutic options. Resistance by tet(x4) is particularly worrisome given its presence on mobile genetic elements. Here we report on a tigecycline-resistant E.coli strain isolated from a patient returning from Pakistan. A tet(x4) gene was found on an IncFII plasmid isolated from an ST410 E.coli co-harbouring NDM-5. The combination of carbapenemase and tet(x4) is concerning.

Citations
3
FWCI
0.84
Field percentile
top 31%

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