2019
DOI: 10.1007/s15010-019-01309-2
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Simultaneous colonization by Escherichia coli and Klebsiella pneumoniae harboring mcr-1 in Brazil

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Cited by 14 publications
(4 citation statements)
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“…ST744 isolates belonged to phylogroup A and E. coli in this phylogroup are not as virulent as those belonging to phylogroups B2 and D2 ( 80 ). Nonetheless, ST744 has been sporadically associated as a disease-causing agent carrying resistance to critical antimicrobials such as colistin and carbapenem from human patients worldwide ( 81 83 ). The global distribution of fluoroquinolone-resistant ST744 clones should be worrisome, as fluoroquinolones are critical antimicrobials for treating systemic infections in humans ( 84 ).…”
Section: Discussionmentioning
confidence: 99%
“…ST744 isolates belonged to phylogroup A and E. coli in this phylogroup are not as virulent as those belonging to phylogroups B2 and D2 ( 80 ). Nonetheless, ST744 has been sporadically associated as a disease-causing agent carrying resistance to critical antimicrobials such as colistin and carbapenem from human patients worldwide ( 81 83 ). The global distribution of fluoroquinolone-resistant ST744 clones should be worrisome, as fluoroquinolones are critical antimicrobials for treating systemic infections in humans ( 84 ).…”
Section: Discussionmentioning
confidence: 99%
“…The mcr-1 gene can also be integrated into the chromosome of some strains (17). However, in Latin America, only four plasmids have been described so far: IncX4 (36), IncP (22), IncI2 (31), and IncHI2 (37), of which the IncX4 plasmid is the most frequent in Brazil (38,39) (Table 1). There is a clear association between the IncX4 plasmids and the insertion sequences associated with the dissemination of the mcr-1 gene (40).…”
Section: Genetic Context and Dissemination Of Mcr-1 Genementioning
confidence: 99%
“…MDR E. coli ST744 isolates have been found in multiple animal species, environments, and diseased humans worldwide. ST744, mcr-1 positive, isolates have been obtained from human bloodstream infection in Denmark [90], human fecal samples in China and Brazil [91,92], UTI in Portugal and Brazil [93,94], and sputum/body fluid in China [95]. E. coli ST744 strains have also been reported in mcr-1-positive isolates from poultry in Romania and Lebanon [96,97], weaning pigs in Japan [98], while mcr-3-producing E. coli ST744 isolate was reported in veal calves in France [99].…”
Section: Discussionmentioning
confidence: 99%