2021
DOI: 10.1016/j.ijantimicag.2021.106426
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Polymyxin resistance in Enterobacterales: overview and epidemiology in the Americas

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Cited by 29 publications
(33 citation statements)
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“…However, the self-transmissible 170-kb IncHI2 plasmid had a major distribution in the mcr-1 positive isolates (Table 1). This is consistent with the fact that the spread of the mcr-1 gene in Latin America seems to be more related to the spread of mcr-1 carrying plasmids among E. coli isolates than to the clonal expansion of MCR-1 producing isolates [6]. The most prevalent mcr-1 carrying plasmids in Latin America are the IncX4-and IncI2-types.…”
Section: Discussionsupporting
confidence: 85%
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“…However, the self-transmissible 170-kb IncHI2 plasmid had a major distribution in the mcr-1 positive isolates (Table 1). This is consistent with the fact that the spread of the mcr-1 gene in Latin America seems to be more related to the spread of mcr-1 carrying plasmids among E. coli isolates than to the clonal expansion of MCR-1 producing isolates [6]. The most prevalent mcr-1 carrying plasmids in Latin America are the IncX4-and IncI2-types.…”
Section: Discussionsupporting
confidence: 85%
“…These plasmids are transferable with a broad host range, which could explain the widespread of mcr genes among different bacterial species [ 4 ]. Ten variants of the mcr gene have so far been described [ 5 ], but the most widespread is the mcr-1 gene [ 6 ]. This gene has been identified in isolates from numerous sources including humans, food, farms and wild animals [ 7 , 8 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Their ability to bind the lipid A component of LPS makes them precious, the last resource weapons to fight septic shock, notwithstanding their known nephrotoxicity. Resistance has emerged, however, and is spreading at an alarming pace, putting the effectiveness of these valuable therapeutics at risk [ 170 , 171 ]. Last but not least, daptomycin.…”
Section: Amps—goods Vs Bads and The Long Way Towards Clinical Applicationmentioning
confidence: 99%