Coproduction of KPC-18 and VIM-1 Carbapenemases by Enterobacter cloacae: Implications for Newer β-Lactam'β-Lactamase Inhibitor Combinations

  • Gina K. Thomson
  • , James W. Snyder
  • , Christi L. McElheny
  • , Kenneth S. Thomson
  • , Yohei Doi

Research output: Contribution to journalArticlepeer-review

Abstract

Enterobacter cloacae strain G6809 with reduced susceptibility to carbapenems was identified from a patient in a long-term acute care hospital in Kentucky. G6809 belonged to sequence type (ST) 88 and carried two carbapenemase genes, blaKPC-18 and blaVIM-1. Whole-genome sequencing localized blaKPC-18 to the chromosome and blaVIM-1 to a 58-kb plasmid. The strain was highly resistant to ceftazidime-avibactam. Insidious coproduction of metallo-β-lactamase with KPC-type carbapenemase has implications for the use of next-generation β-lactam'β-lactamase inhibitor combinations.

Original languageEnglish
Pages (from-to)791-794
Number of pages4
JournalJournal of clinical microbiology
Volume54
Issue number3
DOIs
Publication statusPublished - 03-2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)

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