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Emergence of bla(NDM-1), bla(NDM-5), bla(KPC-2) and bla(IMP-4) carrying plasmids in Raoultella spp. in the environment
Shandong Univ, Peoples R China.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection. Linköping University, Faculty of Medicine and Health Sciences.
Shandong Ctr Dis Control & Prevent, Peoples R China.
Shandong Univ, Peoples R China.
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2022 (English)In: Environmental Pollution, ISSN 0269-7491, E-ISSN 1873-6424, Vol. 306, article id 119437Article in journal (Refereed) Published
Abstract [en]

To date, carbapenem-resistant Enterobacteriaceae have been found predominantly in clinical settings worldwide. Raoultella belongs to the Enterobacteriaceae family which can cause hospital-acquired infections, and carbapenem-resistant Raoultella spp. (CRR) is sporadically reported in the environment. We investigated the distribution and underlying resistance mechanisms of CRR in a wastewater treatment plant (WWTP) from eastern China between January 2018 and February 2019. A total of 17 CRR were isolated from 324 environmental samples, including Raoultella ornithinolytica (n = 15) and Raoultella planticola (n = 2). The detection of CRR was more frequent in the water inlet compared to anaerobic tank, aerobic tank, sludge thickener, activated sludge, mud cake storage area, and water outlet, and CRR was detected in mud cake stacking area. All CRR were resistant to imipenem, meropenem, ampicillin, piperacillin-tazobactam, cefotaxime, ceftazidime, trimethoprim-sulfamethoxazole and fosfomycin. Four different carbapenemase genes were identified, including bla(KPC-2) (n = 13), bla(NDM-1) (n = 8), bla(NDM-5) (n = 1), bla(IMP-4) (n = 1). Interestingly, isolated R. ornithinolytica from the WWTP were closely related to those reported from human samples in China. Plasmid analysis indicated that IncFII(Yp), IncP6, and IncU mediated bla(KPC-2) spread, IncX3 and IncN2 mediated bla(NDM) spread in the environment. The core structure of the Tn3-ISKpn27-bla(KPC-2)-ISKpn6, ISAba125-bla(NDM)-ble(MBL)-trpF-dsbD were identified. The study provides evidence that Raoultella spp. may spread alarming carbapenem resistance in the environment and, therefore, the continuous surveillance for carbapenem resistance in the WWTP should be conducted, especially sludge.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2022. Vol. 306, article id 119437
Keywords [en]
Raoultella spp.; Carbapenem resistance; Distribution; Plasmid characteristics; WWTP
National Category
Pharmacology and Toxicology
Identifiers
URN: urn:nbn:se:liu:diva-186484DOI: 10.1016/j.envpol.2022.119437ISI: 000806752500002PubMedID: 35537555OAI: oai:DiVA.org:liu-186484DiVA, id: diva2:1677736
Note

Funding Agencies|National Natural Science Foundation of China [8197120700, 41771499]; Fundamental Research Funds of Shandong University [2018JC102]; Shandong Provincial Medical Science and Technology Development Project [202112071042]

Available from: 2022-06-28 Created: 2022-06-28 Last updated: 2022-06-28

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