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Further Spread of blaNDM-5 in Enterobacteriaceae via IncX3 Plasmids in Shanghai, China

Overview of attention for article published in Frontiers in Microbiology, March 2016
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Title
Further Spread of blaNDM-5 in Enterobacteriaceae via IncX3 Plasmids in Shanghai, China
Published in
Frontiers in Microbiology, March 2016
DOI 10.3389/fmicb.2016.00424
Pubmed ID
Authors

Fangfang Zhang, Lianyan Xie, Xiaoli Wang, Lizhong Han, Xiaokui Guo, Yuxing Ni, Hongping Qu, Jingyong Sun

Abstract

One hundred and two carbapenem-resistant Enterobacteriaceae (CRE) strains were isolated in a teaching hospital in Shanghai, China from 2012 to 2015. In a follow-up study, four New Delhi metallo-β-lactamase-5 (NDM-5)-producing strains were identified after screening these CRE strains, including 1 Klebsiella pneumoniae strain (RJ01), 1 Proteus mirabilis strain (RJ02), and 2 Escherichia coli strains (RJ03 and RJ04). All K. pneumoniae and E. coli isolates were resistant to carbapenems, third-generation cephalosporins, and piperacillin-tazobactam, but were susceptible to amikacin. No epidemiological links for either E. coli isolate were found by multilocus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE). However, MLST revealed a novel sequence type, ST2250, of the K. pneumoniae RJ01 strain. Inc types and sizes of bla NDM-5-carrying plasmids differed among the four isolates, although in P. mirabilis RJ02 and E. coli RJ03, bla NDM-5 was carried by conjugative IncX3 plasmids of nearly the same size (∼40 kb). Investigation of the genetic background of sequences flanking the bla NDM-5 gene showed that all four isolates shared the same genetic content (IS3000-ΔISAba125-IS5-bla NDM-5-ble-trpF-dsbC-IS26-ΔumuD), which was identical to that of the pNDM_MGR194 plasmid circulating in India. This is the first identification of bla NDM-5 in P. mirabilis, which suggests its further spread to Enterobacteriaceae, and indicates that IncX3 plasmids may play an important role in potentiating the spread of bla NDM.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 47 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 11 23%
Student > Master 5 11%
Lecturer 4 9%
Student > Ph. D. Student 4 9%
Student > Postgraduate 3 6%
Other 6 13%
Unknown 14 30%
Readers by discipline Count As %
Biochemistry, Genetics and Molecular Biology 9 19%
Immunology and Microbiology 9 19%
Agricultural and Biological Sciences 8 17%
Medicine and Dentistry 2 4%
Business, Management and Accounting 2 4%
Other 3 6%
Unknown 14 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 April 2016.
All research outputs
#14,843,597
of 22,858,915 outputs
Outputs from Frontiers in Microbiology
#13,837
of 24,871 outputs
Outputs of similar age
#170,531
of 300,631 outputs
Outputs of similar age from Frontiers in Microbiology
#323
of 545 outputs
Altmetric has tracked 22,858,915 research outputs across all sources so far. This one is in the 33rd percentile – i.e., 33% of other outputs scored the same or lower than it.
So far Altmetric has tracked 24,871 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 300,631 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 545 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.