RT Journal Article T1 Carbapenem-resistant Klebsiella pneumoniae isolates from Egypt containing blaNDM-1 on IncR plasmids and its association with rmtF. A1 Gamal, Doaa A1 Fernández-Martínez, Marta A1 Salem, Dalia A1 El-Defrawy, Inas A1 Montes, Laura Álvarez A1 Ocampo-Sosa, Alain A A1 Martínez-Martínez, Luis K1 Carbapenemases K1 Enterobacteriaceae K1 IncR plasmids K1 Methyl transferases K1 β-Lactamases AB The aim of this study was to characterize carbapenem-resistant Klebsiella pneumoniae (CRKP) isolates recovered from clinical specimens at a tertiary care hospital in Egypt over a period of 15 months. Eight CRKP isolates were included in this study. The minimum inhibitory concentrations of different antibiotics were determined by broth microdilution and Etest methods. Multilocus sequence typing was performed. Antibiotic resistance genes were assessed by PCR and DNA sequencing. Plasmid analysis was done by S1 nuclease digestion of whole genomic DNA followed by pulsed-field gel electrophoresis (S1-PFGE). Eight carbapenem-resistant NDM-1-producing K. pneumoniae isolates of three different sequence types (ST) were identified (ST147, ST11, and ST17), in which blaNDM-1 was carried by either IncR or untypeable plasmids. Seven out of the eight isolates also contained the rmtF methylase gene. This study describes the occurrence of IncR plasmids carrying blaNDM-1 and rmtF in Egypt, raising concerns regarding this type of replicon and its role in the transmission of these resistance determinants. YR 2015 FD 2015-12-11 LK https://hdl.handle.net/10668/27999 UL https://hdl.handle.net/10668/27999 LA en DS RISalud RD Apr 6, 2025