Wastewater-based surveillance in Italy leading to the first detection of mcr-10-positive Klebsiella quasipneumoniae

Wastewater-based surveillance enabled the first detection of the mobile colistin resistance gene mcr-10 in Italy. This plasmid-borne resistance gene was found in strains of Klebsiella quasipneumoniae isolated from samples of human raw sewage collected over several months. Although the isolates were...

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Published inAntimicrobial resistance & infection control Vol. 11; no. 1; p. 155
Main Authors Formenti, Nicoletta, Guarneri, Flavia, Bertasio, Cristina, Parisio, Giovanni, Romeo, Claudia, Scali, Federico, Birbes, Laura, Boniotti, Maria Beatrice, Diegoli, Giuseppe, Candela, Loredana, Romeo, Gianluca Antonio, Pasquali, Paolo, Alborali, Giovanni Loris
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 09.12.2022
BioMed Central
BMC
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Summary:Wastewater-based surveillance enabled the first detection of the mobile colistin resistance gene mcr-10 in Italy. This plasmid-borne resistance gene was found in strains of Klebsiella quasipneumoniae isolated from samples of human raw sewage collected over several months. Although the isolates were phenotypically susceptible to colistin, the emergence of mcr-10 is concerning due to the highly variable expression of the gene and the potential for horizontal transfer to other species. In addition, the strains also carried an extended-spectrum β-lactamase gene and were phenotypically resistant to several beta-lactams. This study highlights the value of wastewater-based surveillance as an effective tool to monitor the emergence of antimicrobial resistance in strains circulating in the community and the environment.
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ISSN:2047-2994
2047-2994
DOI:10.1186/s13756-022-01194-9