2021
DOI: 10.2147/idr.s302687
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Molecular Epidemiology of mcr-1, blaKPC-2, and blaNDM-1 Harboring Clinically Isolated Escherichia coli from Pakistan

Abstract: Purpose The multiple-drug resistant Escherichia coli are among the deadliest pathogens causing life-threatening infections. This study was planned to determine the molecular epidemiology of mcr-1, bla KPC-2 , and bla NDM-1 harboring clinically isolated E. coli from Pakistan. Methods In total, 545 strains of E. coli … Show more

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Cited by 20 publications
(10 citation statements)
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“…The presence of ESBL genes in commercial and rural poultry has been reported in previous studies, which are in line with our results ( Sarba et al., 2019 ). In clinical isolates, the presence of bla TEM was high compared to bla CTX-M-1, bla CTX-M-8, bla CTX-M-9, and bla CTX-M-15, which is different compared to previous studies ( Osuna et al., 2016 ; Rahman et al., 2016 ; Bilal et al., 2021 ).…”
Section: Discussioncontrasting
confidence: 85%
“…The presence of ESBL genes in commercial and rural poultry has been reported in previous studies, which are in line with our results ( Sarba et al., 2019 ). In clinical isolates, the presence of bla TEM was high compared to bla CTX-M-1, bla CTX-M-8, bla CTX-M-9, and bla CTX-M-15, which is different compared to previous studies ( Osuna et al., 2016 ; Rahman et al., 2016 ; Bilal et al., 2021 ).…”
Section: Discussioncontrasting
confidence: 85%
“…No environmental or feed isolates evaluated show a co-harboring of carbapenemases and mcr genes. The dissemination of isolates that harbor mcr-1 and carbapenemases constitutes a public health issue, although these isolates have been reported in low frequency until now ( Dalmolin et al, 2019 ; Bilal et al, 2021 ). The increasing detection of isolates that co-harbor critically important ARGs emphasized the importance of prompt surveillance strategies to reduce the dissemination of these highly critical clones worldwide.…”
Section: Resultsmentioning
confidence: 99%
“…Interestingly, all these resistant isolates were harbouring plasmid-mediated gene, mcr-1 indicating its ability of fast dissemination and horizontal transfer. Previous reports from Pakistan have already detected the mcr-1 gene from clinical, cattle, wild birds, poultry and the environment (Ali et al, 2021;Bilal et al, 2021;Mohsin et al, 2017Mohsin et al, , 2019. On top of this, the co-occurrence of ESBL and colistin is limiting the option for treatment in near future presenting a huge challenge for healthcare community.…”
Section: Discussionmentioning
confidence: 99%