Characterization of plasmids encoding bla<inf>ESBL</inf> and surrounding genes in Spanish clinical isolates of Escherichia coli and Klebsiella pneumoniae

Karol Diestra, Carlos Juan, Tânia Curiao, Bartolomé Moyá, Elisenda Miró, Jesús Oteo, Teresa M. Coque, María Pérez-Vázquez, José Campos, Rafael Cantón, Antonio Oliver, Ferran Navarro

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Objectives: The aim of the study was to characterize plasmids that harbour blaESBL genes and their genetic environment in Escherichia coli and Klebsiella pneumoniae clones circulating in Spain. Methods: The incompatibility group of plasmids within 58 strains harbouring blaCTX-M (n = 45) and blaSHV (n = 15) genes was determined by rep-typing-PCR and hybridization. The blaESBL genetic environment was determined by PCR and sequencing. Results: The blaCTX-M-9 genes (n = 14) were linked to In60 located in IncI1 (50%) or IncHI2 plasmids (28%). All blaCTX-M-14 genes (n = 13) were flanked by IS Ecp1 and IS 903 and 12 were associated with IncK plasmids. One of two blaCTX-M-10 genes was present in an IncK plasmid, but both genes were linked to a phage-related element. Five of seven blaCTX-M-1 (71%), all three blaCTX-M-32 and one of two blaCTX-M-3 genes were linked to IncN plasmids. The other blaCTX-M-3 gene was linked to IncA/C and the remaining two blaCTX-M-1 genes to IncFII plasmids. Three blaCTX-M-15 genes were associated with IncF (repFIA) and one with IncFII plasmids. All these genes from blaCTX-M group-1 showed the IS Ecp1 upstream truncated by different insertion sequences. Forty-three percent of blaSHV-12 genes (n = 14) were located in IncI1 plasmids, all flanked by the IS 26 and DEOR region. The only detected blaSHV-5 gene was located in an IncFII plasmid and flanked by recF and DEOR regions. Conclusions: A diversity of the plasmid incompatibility groups that harbour blaESBL genes was observed, except for the blaCTX-M-14 gene. Moreover, a high variability was confirmed in the genetic environment of these genes as a result of insertion and deletion events. © The Author 2008. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved.
Original languageEnglish
Pages (from-to)60-66
JournalJournal of Antimicrobial Chemotherapy
Publication statusPublished - 1 Jan 2009


  • Antimicrobial resistance surveillance
  • ESBL-producing
  • Incompatibility group
  • Mechanisms of resistance

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