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In 1997, the first SPM-1-positive Pseudomonas aeruginosa isolate (48-1997A) from a 4-year-old leukemic girl in San Paulo, Brazil, was characterized. bla SPM-1 was flanked by two IS CR elements, designated IS CR4 , and probably transposes via a mechanism called rolling-circle replication ([8][1]).

First Report of the Metallo-β-Lactamase SPM-1 in Europe