BACKGROUND: CTX-M-15 is the dominant type of extended-spectrum beta-lactamase in clinical isolates. This enzyme constitutes the most widespread enzymes in Tunisia. In this study, we were interested to understand the causes of the evolutionary success of CTX-M-15 in a Tunisian university hospital. METHODS: A total of of 72 cefotaxime-resistant Enterobacteriaceae were isolated from newborn patients at the hospital Taher sfar Mandia in Tunisia and characterized their genetic support by means of molecular techniques. RESULTS: Isolates were clustered into various clonal groups, although most isolates belonged to sequence types ST39 (Klebsiella pneumoniae) and ST131 (Escherichia coli). F replicons (FIA, FIB, and Fit) were the most frequently detected replicon types in our collection (91.66%). CONCLUSION: This is the first report of QnrB- and CTX-M-15-encoding large IncF-type conjugative plasmids in Tunisia.
机构:
Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Univ Estadual Paulista, Dept Biol, Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Tollentino, Fernanda M.
Polotto, Milena
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Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Univ Estadual Paulista, Dept Biol, Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Polotto, Milena
Nogueira, Mauricio L.
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Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Nogueira, Mauricio L.
Lincopan, Nilton
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Univ Sao Paulo, Fac Ciencias Farmaceut, Dept Anal Clin, Sao Paulo, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Lincopan, Nilton
Neves, Patricia
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Univ Sao Paulo, Fac Ciencias Farmaceut, Dept Anal Clin, Sao Paulo, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Neves, Patricia
Mamizuka, Elsa M.
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Univ Sao Paulo, Fac Ciencias Farmaceut, Dept Anal Clin, Sao Paulo, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Mamizuka, Elsa M.
Remeli, Gisele A.
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Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Remeli, Gisele A.
De Almeida, Margarete T. G.
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Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
De Almeida, Margarete T. G.
Rubio, Fernando G.
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Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
Rubio, Fernando G.
Nogueira, Mara C. L.
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Fac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, BrazilFac Med Sao Jose do Rio Preto, Dept Doencas Dermatol Infecciosas & Parasitarias, Microbiol Lab, BR-15090000 Sao Jose Do Rio Preto, Brazil
机构:
Kobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Yang, Young-min
Osawa, Kayo
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Kobe Univ, Div Biophys, Grad Sch Hlth Sci, Kobe, Hyogo, Japan
Kobe Tokiwa Univ, Dept Med Technol, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Osawa, Kayo
Kitagawa, Koichi
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Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, Japan
Kobe Univ, Dept Adv Med Sci, Grad Sch Sci Technol & Innovat, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Kitagawa, Koichi
Hosoya, Samiko
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Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Hosoya, Samiko
Onishi, Reo
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Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Onishi, Reo
Ishii, Aya
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Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Ishii, Aya
Shirakawa, Toshiro
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Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, Japan
Kobe Univ, Dept Adv Med Sci, Grad Sch Sci Technol & Innovat, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Shirakawa, Toshiro
Hirai, Itaru
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Univ Ryukyus, Fac Med, Sch Hlth Sci, Lab Microbiol, Nishihara, Okinawa, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Hirai, Itaru
Kuntaman, Kuntaman
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Airlangga Univ, Fac Med, Dept Microbiol, Surabaya, IndonesiaKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Kuntaman, Kuntaman
Tanimoto, Hiroshi
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Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Tanimoto, Hiroshi
Shigemura, Katsumi
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Kobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Kobe Univ, Dept Publ Hlth, Grad Sch Hlth Sci, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
Shigemura, Katsumi
Fujisawa, Masato
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机构:
Kobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, JapanKobe Univ, Fac Med, Dept Organ Therapeut, Div Urol,Grad Sch Med, Kobe, Hyogo, Japan
机构:
S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Deng, Yuting
He, Liangying
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
He, Liangying
Chen, Sheng
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机构:
Hong Kong Polytech Univ, Dept Appl Biol & Chem Technol, Kowloon, Hong Kong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Chen, Sheng
Zheng, Hongqing
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Zheng, Hongqing
Zeng, Zhenling
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Zeng, Zhenling
Liu, Yahong
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Liu, Yahong
Sun, Yan
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Sun, Yan
Ma, Junying
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Ma, Junying
Chen, Zhangliu
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S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China
Chen, Zhangliu
Liu, Jian-Hua
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机构:
S China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R ChinaS China Agr Univ, Coll Vet Med, Natl Reference Lab Vet Drug Residues, Guangzhou 510642, Guangdong, Peoples R China