ObjectivesHighly carbapenem resistant Salmonella has emerged worldwide in recent years, largely associated with the multiform transmission of resistance genes, which poses a huge challenge on clinical practices. Our study delves into the resistance mechanism and epidemiology of blaNDM-carrying plasmid. MethodsWhole genome sequencing (WGS) was utilized to analyze the molecular characteristics and antimicrobial resistance mechanism of Salmonella isolate recovered from the feces of a pediatric patient at Children's Hospital of Nanjing Medical University. Moreover, we conducted the epidemiology analysis and focused on studying the mechanism of plasmid mediated blaNDM transmission, incorporating genomes deposited in the NCBI Pathogen Detection database. ResultsThe clinical isolate 23S9 belonged to serovar Typhimurium, antigenic profile is 4:i:-, ST34 and carried pNDM_23S9 harboring several antimicrobial resistance genes, including aac(6’)-Ib-cr6, OXA-1, catB3, arr-3, qacEdeltal and blaNDM. Comparative analysis revealed blaNDM-5 can exist in different plasmids of different isolates, proving its transmission through plasmids. Furthermore, blaNDM-carrying isolates mostly resistant to beta-lactams, aminoglycoside, sulphonamide, macrolide and trimethoprim. ConclusionsThese findings provided thorough and intuitive insights into the intercontinental spread of blaNDM-carrying Salmonella. Ongoing surveillance is essential for effectively monitoring the worldwide dissemination of this high-risk carbapenem resistant Salmonella.
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