Figure 1.

Correlation of phenotypic resistance patterns and the detected antibiotic resistance genes in BR-MHR107Ecl in the present study
| Resistance to | Phenotypic | Genotypic | Correlation phenotype vs. genotype | Possible explanation of difference |
|---|---|---|---|---|
| Amikacin | Sensitive | Not present | Yes | Neither aph(6)-Id nor aph(3″)-Ib-like confer resistance to this particular aminoglycoside |
| Amoxicillin-clavulanate | Resistant | blaDHA-1, blaCMH-3-like | Yes | Beta-lactamase present |
| Ampicillin | Resistant | blaDHA-1, blaCMH-3-like | Yes | Beta-lactamase present |
| Azithromycin | Sensitive | blaDHA-1, blaCMH-3-like | Yes | Beta-lactamase present |
| Cefoxitin | Resistant | blaDHA-1, blaCMH-3-like | Yes | Beta-lactamase present |
| Ceftazidime | Resistant | blaDHA-1, blaCMH-3-like | Yes | Beta-lactamase present |
| Chloramphenicol | Sensitive | Not present | Yes | Antibiotic resistance gene not encoded |
| Ciprofloxacin | Intermediate | qnrB4 | Yes | qnrB-like enzymes express only low-level fluoroquinolone resistance |
| Disinfectant | Not tested | qacE-like | Correlation not possible due to experimental set-up (not tested phenotypically) | N.A. |
| Fosfomycin | Sensitive | Not present | Yes | Antibiotic resistance gene not encoded |
| Gentamicin | Sensitive | Not present | Yes | Neither aph(6)-Id nor aph(3″)-Ib-like confer resistance to this particular aminoglycoside |
| Meropenem | Intermediate | Not present | Yes | Overexpression of blaDHA-1 and/or blaCMH-3-like in combination with porin deficiency mutations |
| Penicillin G | Resistant | blaDHA-1, blaCMH-3-like | Yes | Beta-lactamase present |
| Streptomycin | Not tested | aph(6)-Id | Correlation not possible due to experimental set-up (not tested phenotypically) | N.A. |
| Sulfamethoxazole-trimethoprim | Sensitive | Not present | Yes | Only gene for resistance towards sulfamethoxazole present (sul1) but not towards trimethoprim |
| Sulfonamide | Not tested | sul1 | Correlation not possible due to experimental set-up (sulfonamide tested only in combination with trimethoprim) | N.A. |
| Tetracycline | Sensitive | Not present | Yes | Antibiotic resistance gene not encoded |
| Doxycycline | Intermediate | Not present | No | Unknown mechanisms of antibiotic resistance encoded or expressed |
Enterobacter cloacae isolates available at the PubMLST database used in the phylogenetic comparison of BR-MHR107Ecl with other ST84 isolates
| ID | Isolate | Country | Continent | Year | Source | Detailed source | Disease |
|---|---|---|---|---|---|---|---|
| 73 | B13 | Bangladesh | Asia | 2017 | human | ||
| 532 | BR-MHR107Ecl | Bangladesh | Asia | 2021 | animal | Lactating cow | other |
| 915 | PDT001195434.1 | Nigeria | Africa | 2017 | environmental | ||
| 1055 | PDT001391505.1 | Brazil | South America | 2018 | human | ||
| 1201 | PDT001543720.1 | Nigeria | Africa | 2016 | human | ||
| 1216 | PDT001543695.1 | Nigeria | Africa | 2016 | human | ||
| 1219 | PDT001543684.1 | Nigeria | Africa | 2016 | human | ||
| 1224 | PDT001543683.1 | Nigeria | Africa | 2016 | human | ||
| 1347 | MDCL 83 | India | Asia | 2022 | human | Central line blood | bacteraemia |
Matrix showing the number of single nucleotide polymorphisms (SNPs) of strain BR-MHR107Ecl compared to other Enterobacter cloacae ST84 isolates
| 532_BR_MHR107Ecl | 73_B13 | 915_PDT001195434_1 | 1055_PDT001391505_1 | 1201_PDT001543720_1 | 1216_PDT001543695_1 | 1219_PDT001543684_1 | 1224_PDT001543683_1 | 1347_MDCL_83 | |
|---|---|---|---|---|---|---|---|---|---|
| 532_BR_MHR107Ecl | 0 | 1979 | 1142 | 1169 | 1218 | 1891 | 3144 | 317 | 1223 |
| 73_B13 | 1979 | 0 | 2368 | 2399 | 2444 | 2523 | 3108 | 1934 | 2447 |
| 915_PDT001195434_1 | 1142 | 2368 | 0 | 853 | 390 | 2293 | 2826 | 1097 | 342 |
| 1055_PDT001391505_1 | 1169 | 2399 | 853 | 0 | 929 | 2322 | 2839 | 1123 | 934 |
| 1201_PDT001543720_1 | 1218 | 2444 | 390 | 929 | 0 | 2369 | 2902 | 1173 | 474 |
| 1216_PDT001543695_1 | 1891 | 2523 | 2293 | 2322 | 2369 | 0 | 3504 | 1847 | 2374 |
| 1219_PDT001543684_1 | 3144 | 3108 | 2826 | 2839 | 2902 | 3504 | 0 | 3099 | 2907 |
| 1224_PDT001543683_1 | 317 | 1934 | 1097 | 1123 | 1173 | 1847 | 3099 | 0 | 1178 |
| 1347_MDCL_83 | 1223 | 2447 | 342 | 934 | 474 | 2374 | 2907 | 1178 | 0 |