Clonal Clusters, Molecular Resistance Mechanisms and Virulence Factors of Gram-Negative Bacteria Isolated from Chronic Wounds in Ghana

Wound infections are common medical problems in sub-Saharan Africa but data on the molecular epidemiology are rare. Within this study we assessed the clonal lineages, resistance genes and virulence factors of Gram-negative bacteria isolated from Ghanaian patients with chronic wounds. From a previous...

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Main Authors: Denise Dekker (Author), Frederik Pankok (Author), Thorsten Thye (Author), Stefan Taudien (Author), Kwabena Oppong (Author), Charity Wiafe Akenten (Author), Maike Lamshöft (Author), Anna Jaeger (Author), Martin Kaase (Author), Simone Scheithauer (Author), Konstantin Tanida (Author), Hagen Frickmann (Author), Jürgen May (Author), Ulrike Loderstädt (Author)
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Published: MDPI AG, 2021-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Denise Dekker  |e author 
700 1 0 |a Frederik Pankok  |e author 
700 1 0 |a Thorsten Thye  |e author 
700 1 0 |a Stefan Taudien  |e author 
700 1 0 |a Kwabena Oppong  |e author 
700 1 0 |a Charity Wiafe Akenten  |e author 
700 1 0 |a Maike Lamshöft  |e author 
700 1 0 |a Anna Jaeger  |e author 
700 1 0 |a Martin Kaase  |e author 
700 1 0 |a Simone Scheithauer  |e author 
700 1 0 |a Konstantin Tanida  |e author 
700 1 0 |a Hagen Frickmann  |e author 
700 1 0 |a Jürgen May  |e author 
700 1 0 |a Ulrike Loderstädt  |e author 
245 0 0 |a Clonal Clusters, Molecular Resistance Mechanisms and Virulence Factors of Gram-Negative Bacteria Isolated from Chronic Wounds in Ghana 
260 |b MDPI AG,   |c 2021-03-01T00:00:00Z. 
500 |a 10.3390/antibiotics10030339 
500 |a 2079-6382 
520 |a Wound infections are common medical problems in sub-Saharan Africa but data on the molecular epidemiology are rare. Within this study we assessed the clonal lineages, resistance genes and virulence factors of Gram-negative bacteria isolated from Ghanaian patients with chronic wounds. From a previous study, 49 <i>Pseudomonas aeruginosa</i>, 21 <i>Klebsiella</i><i>pneumoniae</i> complex members and 12 <i>Escherichia coli</i> were subjected to whole genome sequencing. Sequence analysis indicated high clonal diversity with only nine <i>P. aeruginosa</i> clusters comprising two strains each and one <i>E. coli</i> cluster comprising three strains with high phylogenetic relationship suggesting nosocomial transmission. Acquired beta-lactamase genes were observed in some isolates next to a broad spectrum of additional genetic resistance determinants. Phenotypical expression of extended-spectrum beta-lactamase activity in the Enterobacterales was associated with <i>bla<sub>CTX-M-15</sub></i> genes, which are frequent in Ghana. Frequently recorded virulence genes comprised genes related to invasion and iron-uptake in <i>E. coli</i>, genes related to adherence, iron-uptake, secretion systems and antiphagocytosis in <i>P. aeruginosa</i> and genes related to adherence, biofilm formation, immune evasion, iron-uptake and secretion systems in <i>K. pneumonia</i> complex. In summary, the study provides a piece in the puzzle of the molecular epidemiology of Gram-negative bacteria in chronic wounds in rural Ghana. 
546 |a EN 
690 |a wounds 
690 |a Gram-negative bacteria 
690 |a colonization 
690 |a infection 
690 |a clonal lineages 
690 |a resistance genes 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Antibiotics, Vol 10, Iss 3, p 339 (2021) 
787 0 |n https://www.mdpi.com/2079-6382/10/3/339 
787 0 |n https://doaj.org/toc/2079-6382 
856 4 1 |u https://doaj.org/article/3fd864dc4c0b4cc0ad2d6b13d1c20d11  |z Connect to this object online.