Argentina |
K. pneumoniae ST258 |
L/M |
Tn4401a
|
bla
KPC-2
|
88 Gomez SA, Pasteran FG, Faccon D, et al. Clonal dissemination of Klebsiella pneumoniae ST258 harbouring KPC-2 in Argentina. Clin Microbiol Infect. 2011;17:1520-4.
|
|
C. freundii, E. cloacae K. pneumoniae non-258 |
HI2, L/M, A/C |
NTE: variant Ia and Variant Ib |
bla
KPC-2
|
88 Gomez SA, Pasteran FG, Faccon D, et al. Clonal dissemination of Klebsiella pneumoniae ST258 harbouring KPC-2 in Argentina. Clin Microbiol Infect. 2011;17:1520-4.
|
|
P. rettgeri
E. coli
|
B/O |
Tn125 Class 1 integron |
bla
NDM-1
bla
IMP-8
|
99 Pasteran F, Meo A, Gomez S, et al. Emergence of genetically related NDM-1-producing Providencia rettgeri strains in Argentina. J Glob Antimicrob Resist. 2014;2:344-5.
,
1010 Elena A, Cejas D, Magariños F, et al. Spread of clonally related Escherichia coli strains harboring an IncA/C1 plasmid encoding IMP-8 and its recruitment into an unrelated MCR-1-containing isolate. Antimicrob Agents Chemother. 2018;62:e02414-2417.
|
|
E. cloacae
|
Non-typeable |
Class 1 integron: In883, In885, In346 and In900
|
blaVIM-2 and blaVIM-11
|
1111 De Belder D, Faccone D, Tijet N, et al. Novel class 1 Integrons and sequence types in VIM-2 and VIM-11-producing clinical strains of Enterobacter cloacae. Infect Genet Evol. 2017;54:374-8.
|
|
K. pneumoniae
|
N/D |
IS4321-IS4
|
bla
OXA-48
|
1313 Gomez S, Pasteran F, Faccone D, et al. Intrapatient emergence of OXA-247: a novel carbapenemase found in a patient previously infected with OXA-163-producing Klebsiella pneumoniae. Clin Microbiol Infect. 2013;19:E233-5.
|
Colombia |
K. pneumoniae ST14 ST 387, ST388 |
L/M |
Tn4401b
|
bla
KPC-2
|
1616 Mojica MF, Correa A, Vargas DA, et al. Molecular correlates of the spread of KPC-producing Enterobacteriaceae in Colombia. Int J Antimicrob Agents. 2012;40:277-9.
,
1717 Cuzon G, Naas T, Truong H, et al. Worldwide diversity of Klebsiella pneumoniae that produce β-lactamase bla KPC-2 gene. Emerg Infect Dis. 2010;16:1349.
|
|
K. pneumoniae ST258 |
N/D |
Tn4401a or Tn4401b
|
bla
KPC-2
bla
KPC-3
|
1616 Mojica MF, Correa A, Vargas DA, et al. Molecular correlates of the spread of KPC-producing Enterobacteriaceae in Colombia. Int J Antimicrob Agents. 2012;40:277-9.
|
|
K. pneumoniae ST147 and ST14 |
N/D |
Tn4401a or Tn4401b
|
bla
KPC-2
|
1818 Cuzon G, Naas T, Correa A, et al. Dissemination of the KPC-2 carbapenemase in non-Klebsiella pneumoniae enterobacterial isolates from Colombia. Int J Antimicrob Agents. 2013;42:59-62.
|
|
K. pneumoniae ST512 |
N/D |
Tn4401b
|
bla
KPC-3
|
1717 Cuzon G, Naas T, Truong H, et al. Worldwide diversity of Klebsiella pneumoniae that produce β-lactamase bla KPC-2 gene. Emerg Infect Dis. 2010;16:1349.
|
|
S. marcescens
|
A/C |
Tn4401b
|
bla
KPC-2
|
1818 Cuzon G, Naas T, Correa A, et al. Dissemination of the KPC-2 carbapenemase in non-Klebsiella pneumoniae enterobacterial isolates from Colombia. Int J Antimicrob Agents. 2013;42:59-62.
|
|
E. coli
|
F |
Tn4401b
|
bla
KPC-2
|
1818 Cuzon G, Naas T, Correa A, et al. Dissemination of the KPC-2 carbapenemase in non-Klebsiella pneumoniae enterobacterial isolates from Colombia. Int J Antimicrob Agents. 2013;42:59-62.
|
|
E. coli
|
A/C |
Tn125 and Tn5393
|
bla
NDM-1
|
1919 Rojas LJ, Wright MS, De La Cadena E, et al. Initial assessment of the molecular epidemiology of bla NDM-1 in Colombia. Antimicrob Agents Chemother. 2016;60:4346-50.
|
|
K. pneumoniae ST1043 |
A/C |
N/D |
bla
NDM-1
|
2020 Escobar Pérez JA, Olarte Escobar NM, Castro-Cardozo B, et al. Outbreak of NDM-1-producing Klebsiella pneumoniae in a neonatal unit in Colombia, South America. Antimicrob Agents Chemother. 2013. AAC-01447-12
|
Brazil |
K. pneumoniae ST258, ST11 and ST48 |
FII |
Tn4401a |
bla
KPC-2
|
2121 Andrade LN, Curiao T, Ferreira JC, et al. Dissemination of blaKPC-2 by the spread of Klebsiella pneumonia clonal complex 258 clones (ST258, ST11, ST437) and plasmids (IncFII, IncN, IncL/M) among Enterobacteriaceae species in Brazil. Antimicrob Agents Chemother. 2011;55:3579-83.
|
|
K. pneumoniae ST327 and ST437 and E. coli K. pneumoniae
|
N Q1 |
Tn4401b NTE |
bla
KPC-2
bla
KPC-2
|
2121 Andrade LN, Curiao T, Ferreira JC, et al. Dissemination of blaKPC-2 by the spread of Klebsiella pneumonia clonal complex 258 clones (ST258, ST11, ST437) and plasmids (IncFII, IncN, IncL/M) among Enterobacteriaceae species in Brazil. Antimicrob Agents Chemother. 2011;55:3579-83.
,
2323 Cerdeira LT, Lam MMC, Wyres KL, et al. Small IncQ1 and Col-like plasmids harboring bla KPC-2 and Non-Tn4401 elements (NTEKPC-IId) in high-risk lineages of Klebsiella pneumoniae CG258. Antimicrob Agents Chemother. 2019;:AAC-AAC02140.
|
|
S. marcescens and C. freundii
|
L/M |
N/D |
bla
KPC-2
|
2525 Tavares CP, Pereira PS, Marques Ede A, et al. Molecular epidemiology of KPC-2-producing Enterobacteriaceae (non-Klebsiella pneumoniae) isolated from Brazil. Diagn Microbiol Infect Dis. 2015;82:326-30.
|
|
E. coli, E. cloacae, E. aerogenes, C. freundii and P. stuartii
|
N/D |
Tn4401b and Tn4401d
|
bla
KPC-2
|
2525 Tavares CP, Pereira PS, Marques Ede A, et al. Molecular epidemiology of KPC-2-producing Enterobacteriaceae (non-Klebsiella pneumoniae) isolated from Brazil. Diagn Microbiol Infect Dis. 2015;82:326-30.
|
|
K. pneumoniae ST11 and E. coli ST502 K. pneumoniae ST1781 |
W IncQ |
Tn4401c ISKpn23
|
bla
KPC-2
bla
BKC-1
|
2121 Andrade LN, Curiao T, Ferreira JC, et al. Dissemination of blaKPC-2 by the spread of Klebsiella pneumonia clonal complex 258 clones (ST258, ST11, ST437) and plasmids (IncFII, IncN, IncL/M) among Enterobacteriaceae species in Brazil. Antimicrob Agents Chemother. 2011;55:3579-83.
,
2626 Nicoletti AG, Marcondes MF, Martins WB, et al. Characterization of BKC-1 class A carbapenemase from Klebsiella pneumoniae clinical isolates in Brazil. Antimicrob Agents Chemother. 2015;59:5159-64.
|
|
Enterobacter hormaechei
|
FII |
ISAba125 and Tn3000
|
bla
NDM-1
|
2727 Carvalho-Assef AP, Pereira PS, Albano RM, et al. Detection of NDM-1-, CTX-M-15-, and qnrB4-producing Enterobacter hormaechei isolates in Brazil. Antimicrob Agents Chemother. 2014;58:2475-6.
,
2929 Campos JC, da Silva MJF, dos Santos PRN, et al. Characterization of Tn3000, a transposon responsible for bla NDM-1 dissemination among Enterobacteriaceae in Brazil, Nepal, Morocco, and India. Antimicrob Agents Chemother. 2015;59:7387-95.
|
|
P. rettgeri
E. coli
|
N/D IncX3 |
Tn125 Tn3000
|
bla
NDM-1
bla
NDM-1
|
2828 Carvalho-Assef AP, Pereira PS, Albano RM, et al. Isolation of NDM-producing Providencia rettgeri in Brazil. J Antimicrob Chemother. 2013;68:2956-7.
,
2929 Campos JC, da Silva MJF, dos Santos PRN, et al. Characterization of Tn3000, a transposon responsible for bla NDM-1 dissemination among Enterobacteriaceae in Brazil, Nepal, Morocco, and India. Antimicrob Agents Chemother. 2015;59:7387-95.
|
|
K. pneumoniae, P. rettgeri
S. marcescens
|
N/D N/D |
Class I integrons Class I integrons |
bla
IMP-1
bla
IMP-10
|
3030 Lincopan N, McCulloch JA, Reinert C, et al. First isolation of metallo-β-lactamase-producing multiresistant Klebsiella pneumoniae from a patient in Brazil. J Clin Microbiol. 2005;43:516-9.
,
3232 Silva KE, Cayô R, Carvalhaes CG, et al. Coproduction of KPC-2 and IMP-10 in carbapenem-resistant Serratia marcescens isolates from an outbreak in a Brazilian teaching hospital. J Clin Microbiol. 2015;53:2324-8.
|
|
E. hormaechei
|
N/D |
Tn3 truncated-Tn4 truncated |
bla
OXA-370
|
3333 Sampaio JLM, Ribeiro VB, Campos JC, et al. Detection of OXA-370, an OXA-48-related class D β-lactamase, in Enterobacter hormaechei from Brazil. Antimicrob Agents Chemother. 2014;58:3566-7.
|
Chile |
K. pneumoniae ST258, ST101, ST25 |
N/D |
Tn4401a
|
bla
KPC-2
|
3636 Barría-Loaiza C, Pincheira A, Quezada M, et al. Molecular typing and genetic environment of the bla KPC gene in Chilean isolates of Klebsiella pneumoniae. J Glob Antimicrob Resist. 2016;4:28-34.
|
|
K. pneumoniae ST258, ST101, ST25 |
N/D |
NTE: variant 1a |
bla
KPC-2
|
3636 Barría-Loaiza C, Pincheira A, Quezada M, et al. Molecular typing and genetic environment of the bla KPC gene in Chilean isolates of Klebsiella pneumoniae. J Glob Antimicrob Resist. 2016;4:28-34.
|
Ecuador |
K. pneumoniae ST147 K. pneumoniae ST248, 25, 42 Raoultella ornithinolytica
|
A/C FII N/D |
N/D Tn4401a Tn1999
|
bla
NDM-1
bla
KPC-2
bla
OXA-48
|
3434 Romero-Alvarez D, Reyes J, Quezada V, et al. First case of New Delhi metallo-β-lactamase in Klebsiella pneumoniae from Ecuador: an update for South America. Int J Infect Dis. 2017;65:119-21.
-
3535 Reyes JA, Villavicencio F, Villacís JE, et al. First report of a clinical isolate of blaOXA-48-carbapenemase producing Raoultella ornithinolytica in South America. Rev Argent Microbiol. 2019.
|
Uruguay |
K. pneumoniae ST 258 |
N/D |
Tn4401a
|
bla
KPC-2
|
3737 Marquez C, Ingold A, Echeverría N, et al. Emergence of KPC-producing Klebsiella pneumoniae in Uruguay: infection control and molecular characterization. New Microbes New Infect. 2014;2:58-63.
|
Venezuela |
K. pneumoniae ST11, ST15, ST833, ST1271, ST1857, ST1859 and ST1860 |
N/D |
Tn4401b
|
bla
KPC-2
|
3838 Falco Restrepo AD, Nieves MAV, Takiff H. Molecular characterization of KPC-producing Klebsiella pneumoniae isolated from patients in a Public Hospital in Caracas, Venezuela. Enferm Infecc Microbiol Clin. 2017;35:411-6.
|
|
K. pneumoniae ST833 |
N/D |
class 1 integron |
blaVIM-2-blaKPC-2
|
3939 Falco A, Ramos Y, Franco E, et al. A cluster of KPC-2 and VIM-2-producing Klebsiella pneumoniae ST833 isolates from the pediatric service of a Venezuelan Hospital. BMC Infect Dis. 2016;16:595.
|