title: OXA-24 carbapenemase gene flanked by XerC/XerD-like recombination sites in different plasmids from different Acinetobacter species isolated during a nosocomial outbreak.
abstract: A clinical strain of Acinetobacter calcoaceticus resistant to carbapenems was isolated from a blood culture sample from an inpatient in a hospital in Madrid (Spain) during a large outbreak of infection (affecting more than 300 inpatients), caused by a multidrug-resistant Acinetobacter baumannii clone. The carbapenem resistance in both the A. calcoaceticus and A. baumannii clones was due to a bla(OXA-24) gene harbored in different plasmids. The plasmids were fully sequenced, revealing the presence of site-specific recombination binding sites putatively involved in mobilization of the bla(OXA-24) gene. Comparison of plasmids contained in the two strains revealed possible horizontal transmission of resistance genes between the Acinetobacter species.
authors.affiliation: Laboratorio de Microbiología, Complejo Hospitalario Universitario A Coruña, Xubias s/n, 3 Planta Ed. Sur, 15006 La Coruña, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Merino
authors.forename: Joshi
authors.initials: J
authors.lastname: Acosta
authors.forename: Margarita
authors.initials: M
authors.lastname: Poza
authors.forename: Francisca
authors.initials: F
authors.lastname: Sanz
authors.forename: Alejandro
authors.initials: A
authors.lastname: Beceiro
authors.forename: Fernando
authors.initials: F
authors.lastname: Chaves
authors.forename: Germán
authors.initials: G
authors.lastname: Bou
mesh_terms: D000150:Acinetobacter / Q000187:drug effects / Q000201:enzymology* / Q000235:genetics* / Q000302:isolation & purification; D000151:Acinetobacter Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D040981:Acinetobacter baumannii / Q000187:drug effects / Q000201:enzymology / Q000235:genetics / Q000302:isolation & purification; D016954:Acinetobacter calcoaceticus / Q000187:drug effects / Q000201:enzymology / Q000235:genetics / Q000302:isolation & purification; D001426:Bacterial Proteins / Q000235:genetics; D001483:Base Sequence; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D004268:DNA-Binding Proteins / Q000235:genetics; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial / Q000235:genetics; D022761:Gene Transfer, Horizontal; D005798:Genes, Bacterial; D006801:Humans; D066298:In Vitro Techniques; D017720:Molecular Epidemiology; D008969:Molecular Sequence Data; D010957:Plasmids / Q000235:genetics; D011995:Recombination, Genetic; D013030:Spain / Q000453:epidemiology; D013045:Species Specificity; D018440:beta-Lactam Resistance / Q000235:genetics; D001618:beta-Lactamases / Q000235:genetics*
chemical_list: D001426:Bacterial Proteins; D004268:DNA-Binding Proteins; C066312:DnaA protein, Bacteria; D001618:beta-Lactamases; C410345:beta-lactamase OXA-24
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