Plasmid-mediated qnrA1 in Klebsiella pneumoniae ST147 in Recife, Brazil.


OBJECTIVES Qnr-mediated quinolone resistance is increasingly detected worldwide, but few studies have been carried out so far in Brazil. The aim of this study was to test for qnr determinants in isolates of ciprofloxacin-resistant Klebsiella pneumoniae. METHODS Fifteen ciprofloxacin-resistant isolates from urine cultures of hospitalized patients at a university hospital in North-East Brazil were investigated. Specific PCRs were performed for blaCTX-M and blaTEM, qnr, and class 1 integrons. Plasmid analyses and sequence type (ST) determination were performed, as described previously. RESULTS The KP 930 isolate showed qnrA1 and blaTEM-1, together with dfrA12 and aadA2 in a class 1 integron. The qnr gene was located in a 133-kb plasmid. Multilocus sequence typing classified the isolate as ST147. CONCLUSIONS We identified the combination of qnr with ST147 in Brazil; this is a clone that has disseminated widely and successfully in Latin America. The purpose of describing Qnr-mediated quinolone resistance in North-East Brazil is to draw attention to the spread of this mechanism in the country.

DOI: 10.1016/j.ijid.2014.04.026

Cite this paper

@article{Rocha2014PlasmidmediatedQI, title={Plasmid-mediated qnrA1 in Klebsiella pneumoniae ST147 in Recife, Brazil.}, author={Lays Katarina Lima Rocha and Rivaldo Lins dos Santos Neto and Amanda Cristina da Costa Guimar{\~a}es and Anna Carolina Soares Almeida and Marinalda Anselmo Vilela and M{\'a}rcia Maria Camargo de Morais}, journal={International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases}, year={2014}, volume={26}, pages={49-50} }