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In addition, bla BKC-1 was harbored by a small unstable plasmid that could be easily lost in the absence of selective pressure. Antimicrob Agents Chemother For comparison purposes, the first reported BKC-producing strains, i. This article has been cited by other articles in PMC. However, Southern blot analysis revealed that the bla BKC-1 gene was located on the same kb plasmid in both isolates.

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Multilocus sequence typing of Klebsiella pneumoniae nosocomial isolates. Frequency of BKCproducing Ucm species isolates. These data might suggest that, although genetically related, the isolates were probably subjected to distinct selective pressures, which could have resulted in different OMP modifications.

It is important to note that such new studies must search for bla BKC-1 using molecular techniques, since phenotypic tests may not accurately detect BKCproducing isolates 8. Author information Article notes Copyright and License information Disclaimer. More studies with greater numbers of 55046 from all Brazilian states are necessary to assess the real prevalence of isolates carrying bla BKC The Kpn and KpnJ strains showed resistance to all beta-lactams and fluoroquinolones.

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To date, inactivation of mgrB has been the main mechanism of polymyxin resistance observed in K. Performance standards for antimicrobial susceptibility testing; 25th informational supplement. The carbapenemase was encoded jm bla BKC-1which was located on a small nonconjugative plasmid 2.

BKC-1 is a new class A serine carbapenemase that was jm identified in Klebsiella pneumoniae clinical isolates. In the past decade, carbapenemase-encoding genes such as bla KPC-likebla OXAand bla NDM-like have emerged as the main mechanisms of carbapenem resistance in Enterobacteriaceae.

The other authors have no conflicts to declare. J Clin Microbiol Comparison of phenotypic tests for detecting BKCproducing Enterobacteriaceae isolates.

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Kpn showed susceptibility to tigecycline MIC, 0. Transformant cells were selected on LB agar plates supplemented with 0. Carbapenemase-producing Klebsiella pneumoniae, a key pathogen set for global nosocomial dominance.

The two BKCproducing isolates belonged to clonal complex and possessed identical pulsed-field gel electrophoresis patterns.

Address correspondence to Willames M. Among the Klebsiella strains, National Center for Biotechnology InformationU. J Antimicrob Chemother To determine whether this plasmid was identical to p, the first plasmid identified as carrying bla BKC-1we performed whole-plasmid sequencing of the plasmid recovered from KpnJ.

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Martinsa Adriana G. Only 2 BKCproducing K. A total of Klebsiella strains collected from previous surveillance studies were randomly selected for this study, in order to represent distinct Brazilian geographic regions. Initially, we performed transformation by electroporation into Escherichia coli Top The Klebsiella strains were isolated from different clinical specimens obtained between and Fig.

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Support Center Support Center. Mcmb Jorge L. Prepublished online May The Kpn and KpnJ strains showed different plasmid profiles. Published online Jul Diagn Microbiol Infect Dis Nicolettia Silvia R. S, sensitive; R, resistant.

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Antimicrobial susceptibility testing was performed by the broth microdilution method, according to CLSI guidelines 45.

Abstract BKC-1 is a new class A serine carbapenemase that was recently identified in Klebsiella pneumoniae clinical isolates. Antimicrobial susceptibility profiles of BKCproducing K. The 5406 gene as a key target for acquired resistance to colistin in Klebsiella pneumoniae.