We investigated the prevalence of
qnr and
aac(6′)-Ib-cr genes in water-borne environmental bacteria and in clinical isolates of
Enterobacteriaceae, as well as the subtypes of
qnr. Environmental bacteria were isolated from surface water samples obtained from 10 different locations in Hangzhou City, and clinical isolates of
Citrobacter freundii were isolated from several hospitals in four cities in China.
qnrA,
qnrB,
qnrS, and
aac(6′)-Ib-cr genes were screened using PCR, and the genotypes were analyzed by DNA sequencing. Ten of the 78 Gram-negative bacilli isolated from water samples were
C. freundii and 80% of these isolates carried the
qnrB gene.
qnrS1 and
aac(6′)-Ib-cr genes were detected in two
Escherichia coli isolates and
qnrS2 was detected in one species,
Aeromonas punctata. The
qnr and
aac(6′)-Ib-cr genes were present in 75 (72.8%) and 12 (11.6%) of 103 clinical isolates of
C. freundii, respectively. Of the clinical
C. freundii isolates with the
qnr gene, 65 isolates (63.1%) carried
qnrB, but only three (2.9%) and one (1.0%) carried
qnrA1 and
qnrS2, respectively, while five isolates carried both
qnrA1 and
qnrB, and one isolate carried both
qnrS1 and
qnrB. The
qnrB9 gene was the dominant
qnrB subtype, followed by
qnrB8 and
qnrB6. Southern hybridization studies indicated that the
qnr genes are located on different plasmids. Plasmids isolated from both environmental and clinical
C. freundii isolates appeared to be homogenous.
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