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CASE REPORTS

Immediate Appearance of Plasmid-Mediated Resistance to Multiple Antibiotics upon Antibiotic Selection: an Argument for Systematic Resistance Epidemiology

Sebastiaan J. van Hal, Agnieszka Wiklendt, Björn Espedido, Andrew Ginn, Jonathan R. Iredell
Sebastiaan J. van Hal
1Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research
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Agnieszka Wiklendt
1Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research
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Björn Espedido
2University of Sydney, Westmead Hospital, Sydney, New South Wales, Australia 2145
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Andrew Ginn
2University of Sydney, Westmead Hospital, Sydney, New South Wales, Australia 2145
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Jonathan R. Iredell
1Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research
2University of Sydney, Westmead Hospital, Sydney, New South Wales, Australia 2145
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  • For correspondence: jon.iredell@swahs.health.nsw.gov.au
DOI: 10.1128/JCM.02141-08
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    FIG. 1.

    Pulsed-field gel electrophoresis (XbalI) of whole genomic DNA.

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  • TABLE 1.

    Bacterial strains used in this study

    IsolateDetailMIC (μg/ml)a
    TIMCTXIPMGEN
    JIE515 Serratia sp. strain>64/2>324>8
    JIE527 E. coli blood culture isolate from day 3016/2<2<1<2
    JIE528 E. coli blood culture isolate from day 31>64/2>32<1>8
    DH5α E. coli DH5αRif (laboratory strain, no plasmid)8/24<1<2
    pJIBE401 E. coli DH5αRif with pJIBE401 (IMP-4 plasmid)>64/2322>8
    • ↵ a Abbreviations: TIM, ticarcillin-clavulanic acid; CTX, ceftriaxone; IPM, imipenem; GEN, gentamicin. For all of the strains, the tobramycin MIC equaled the gentamicin MIC, the amikacin MIC was <8 μg/ml, and the ciprofloxacin MIC was ≤1 μg/ml.

  • TABLE 2.

    Conjugative transfer of plasmids

    Plasmid markerConjugative transfera from:
    Serratia JIE515E. coli JIE527E. coli JIE528
    bla IMP-4 ++
    IncL/M++
    IncHI2±
    IncN(+)(+)
    IncFIA(+)(+)
    IncFII(+)(+)
    • ↵ a Conjugative transfer of blaIMP-4 and plasmids of Inc groups to E. coli DH5α was determined as previously described (1). Symbols: +, always; ±, sometimes; (+), present in wild-type strain but not transferred.

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Immediate Appearance of Plasmid-Mediated Resistance to Multiple Antibiotics upon Antibiotic Selection: an Argument for Systematic Resistance Epidemiology
Sebastiaan J. van Hal, Agnieszka Wiklendt, Björn Espedido, Andrew Ginn, Jonathan R. Iredell
Journal of Clinical Microbiology Jul 2009, 47 (7) 2325-2327; DOI: 10.1128/JCM.02141-08

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Immediate Appearance of Plasmid-Mediated Resistance to Multiple Antibiotics upon Antibiotic Selection: an Argument for Systematic Resistance Epidemiology
Sebastiaan J. van Hal, Agnieszka Wiklendt, Björn Espedido, Andrew Ginn, Jonathan R. Iredell
Journal of Clinical Microbiology Jul 2009, 47 (7) 2325-2327; DOI: 10.1128/JCM.02141-08
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KEYWORDS

Anti-Bacterial Agents
bacteremia
Drug Resistance, Multiple, Bacterial
Escherichia coli
Escherichia coli Infections
plasmids
Selection, Genetic

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