1. Detection of carbapenemases in Enterobacterales and other Gram-negative bacilli recovered from hospital and municipal wastewater in Mexico City.
- Author
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Urzua-Abad MM, Aquino-Andrade A, Castelan-Vega JA, Merida-Vieyra J, Ribas-Aparicio RM, Belmont-Monroy L, Jimenez-Alberto A, and Aparicio-Ozores G
- Subjects
- Mexico, Enterobacteriaceae genetics, Enterobacteriaceae drug effects, Enterobacteriaceae enzymology, Enterobacteriaceae isolation & purification, Microbial Sensitivity Tests, Humans, Anti-Bacterial Agents pharmacology, beta-Lactamases genetics, beta-Lactamases metabolism, Wastewater microbiology, Bacterial Proteins genetics, Bacterial Proteins metabolism, Gram-Negative Bacteria genetics, Gram-Negative Bacteria enzymology, Gram-Negative Bacteria drug effects, Gram-Negative Bacteria isolation & purification, Hospitals
- Abstract
Wastewater serves as a reservoir for antimicrobial-resistant bacteria. This study revealed the presence of carbapenem-resistant and carbapenemase-producing Gram-negative bacilli (GNB), established clonal relationships among isolates in hospital and municipal wastewater, and identified a high-risk clone in municipal wastewater. A total of 63 isolates of GNB were obtained, with Enterobacterales being the most frequently isolated group (62%). Carbapenemase-producing Lelliottia amnigena, Kluyvera cryocrescens, and Shewanella putrefaciens isolates were documented for the first time in Mexico. The detectableted carbapenemase genes were bla
KPC (55%), blaNDM (12%), blaVIM-2 (12%), blaOXA-48 (4%), blaGES (2%), blaNDM-1 (2%), and blaNDM-5 (2%). Clonal relationships were observed among Klebsiella pneumoniae and Enterobacter spp. isolates, and remarkably the high-risk clone Escherichia coli ST361, carrying blaNDM-5 , was identified. This study demonstrates that wastewater harbours carbapenem-resistant and carbapenemase-producing bacteria, posing a public health threat that requires epidemiological surveillance., (© 2024. The Author(s).)- Published
- 2024
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