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The recent increase of CTX-M-15-producingEscherichia coli isolates in our institution was caused by diverse clonal backgrounds, including mainly B2 sequence type 131 (ST131) clones presenting variable virulence profiles but also A1 (ST617, ST410), B1, and D1 (ST405) clones. Besides IncFII-pC15-1a, we detected multidrug-resistant IncA/C2 and IncN plasmids carryingbla CTX-M-15 and/orqnrS1 . Our study highlights the diversification of highly transmissible resistant and virulent clones and the recombinogenic potential of broad-host plasmids contributing to the expansion of genetic regions coding for multidrug resistance to other bacterial lineages.

antimicrobial agents and chemotherapy

Contribution of IncFII and Broad-Host IncA/C and IncN Plasmids to the Local Expansion and Diversification of Phylogroup B2 Escherichia coli ST131 Clones Carrying bla CTX-M-15 and qnrS1 Genes