Université de Fribourg

National survey of colistin resistance among carbapenemase-producing Enterobacteriaceae and outbreak caused by colistin-resistant OXA-48-producing Klebsiella pneumoniae , France, 2014

Jayol, Aurélie ; Poirel, Laurent ; Dortet, Laurent ; Nordmann, Patrice

In: Eurosurveillance, 2016, vol. 21, no. 37, p. -

From January 2014 to December 2014, 972 consecutive non-replicate carbapenemase-producing Enterobacteriaceae isolates from colonised or infected patients were collected at the Associated French National Reference Centre as part of the French national survey on antimicrobial resistance. It included 577 Klebsiella spp. (59%), 236 Escherichia coli (24%), 108 Enterobacter spp. (11%), 50...

Université de Fribourg

Genetic features of MCR-1-producing colistin-resistant Escherichia coli isolates in South Africa

Poirel, Laurent ; Kieffer, Nicolas ; Brink, Adrian ; Coetze, Jennifer ; Jayol, Aurélie ; Nordmann, Patrice

In: Antimicrobial Agents and Chemotherapy, 2016, vol. 60, no. 7, p. 4394–4397

A series of colistin-resistant Escherichia coli clinical isolates was recovered from hospitalized and community patients in South Africa. Seven clonally unrelated isolates harbored the mcr-1 gene located on different plasmid backbones. Two distinct plasmids were fully sequenced, and identical 2,600-bp-long DNA sequences defining a mcr-1 cassette were identified. Promoter sequences responsible...

Université de Fribourg

Rapid detection of polymyxin resistance in Enterobacteriaceae

Nordmann, Patrice ; Jayol, Aurélie ; Poirel, Laurent

In: Emerging Infectious Diseases, 2016, vol. 22, no. 6, p. -

For identification of polymyxin resistance in Enterobacteriaceae, we developed a rapid test that detects glucose metabolization associated with bacterial growth in the presence of a defined concentration of colistin or polymyxin B. Formation of acid metabolites is evidenced by a color change (orange to yellow) of a pH indicator (red phenol). To evaluate the test, we used bacterial colonies of...

Université de Fribourg

Acquisition of broad-spectrum cephalosporin resistance leading to colistin resistance in Klebsiella pneumoniae

Jayol, Aurélie ; Nordmann, Patrice ; Desroches, Marine ; Decousser, Jean-Winoc ; Poirel, Laurent

In: Antimicrobial Agents and Chemotherapy, 2016, vol. 60, no. 5, p. 3199–3201

An extended-spectrum β-lactamase (ESBL)-producing and colistin-resistant Klebsiella pneumoniae clinical isolate was recovered from a patient who was treated with cefotaxime. This isolate harbored a blaCTX-M-15 ESBL gene that was associated with an ISEcp1 insertion sequence. Transposition of that tandem occurred within the chromosomal mgrB gene, leading...

Université de Fribourg

A Universal culture medium for screening polymyxin-resistant gram-negative isolates

Nordmann, Patrice ; Jayol, Aurélie ; Poirel, Laurent

In: Journal of Clinical Microbiology, 2016, vol. 54, no. 5, p. 1395–1399

The colistin-containing SuperPolymyxin medium was developed for screening polymyxin-resistant Gram-negative bacteria. It was evaluated with 88 polymyxin- susceptible or polymyxin-resistant cultured Gram-negative isolates. Its sensitivity and specificity of detection were ca. 100%. The SuperPolymyxin medium is the first screening medium that is able to detect intrinsic and acquired...

Université de Fribourg

Chromobacterium spp. harbour Ambler class A β-lactamases showing high identity with KPC

Gudeta, Dereje Dadi ; Bortolaia, Valeria ; Jayol, Aurélie ; Poirel, Laurent ; Nordmann, Patrice ; Guardabassi, Luca

In: Journal of Antimicrobial Chemotherapy, 2016, p. -

Objectives The origin of KPC is unknown. The aim of this study was to detect progenitors of KPC in silico and to functionally verify their β-lactam hydrolysis activity.Methods The sequence of KPC-2 was used to mine the NCBI protein sequence database. The best non-KPC hits were analysed by amino acid (aa) alignment and phylogenetic tree construction....

Université de Fribourg

Modulation of mgrB gene expression as a source of colistin resistance in Klebsiella oxytoca

Jayol, Aurélie ; Poirel, Laurent ; Villegas, Maria-Virginia ; Nordmann, Patrice

In: International Journal of Antimicrobial Agents, 2015, vol. 46, no. 1, p. 108–110

Gene modifications in the PmrAB and PhoPQ two-component regulatory systems, as well as inactivation of the mgrB gene, are known to be causes of colistin resistance in Klebsiella pneumoniae. The objective of this study was to characterise the mechanism involved in colistin resistance in a Klebsiella oxytoca isolate. A K. oxytoca clinical isolate showing resistance to colistin was recovered in...

Université de Fribourg

Heteroresistance to colistin in Klebsiella pneumoniae associated with alterations in the PhoPQ regulatory system

Jayol, Aurélie ; Nordmann, Patrice ; Brink, Adrian ; Poirel, Laurent

In: Antimicrobial Agents and Chemotherapy, 2015, vol. 59, no. 5, p. 2780–2784

A multidrug-resistant Klebsiella pneumoniae isolate exhibiting heteroresistance to colistin was investigated. The colistin-resistant subpopulation harbored a single amino acid change (Asp191Tyr) in protein PhoP, which is part of the PhoPQ two-component system that activates pmrHFIJKLM expression responsible for l-aminoarabinose synthesis and polymyxin resistance. Complementation assays with a...

Université de Fribourg

Resistance to colistin associated with a single amino acid change in protein PmrB among Klebsiella pneumoniae isolates of worldwide Origin

Jayol, Aurélie ; Poirel, Laurent ; Brink, Adrian ; Villegas, Maria-Virginia ; Yilmaz, Mesut ; Nordmann, Patrice

In: Antimicrobial Agents and Chemotherapy, 2014, vol. 58, no. 8, p. 4762–4766

A series of colistin-resistant Klebsiella pneumoniae isolates recovered from different countries was investigated in order to evaluate the involvement of the PmrA/PmrB two-component system in this resistance. Six isolates possessed a mutated PmrB protein, which is encoded by the pmrB gene, part of the pmrCAB operon involved in lipopolysaccharide modification. The same amino acid substitution...