This study was conducted to characterize carbapenemase-producing Klebsiella pneumoniae and Acinetobacter baumannii isolated from fresh vegetables in Japan. Two K. pneumoniae (AO15, and AO22) and one A. baumannii (AO22) isolates collected from vegetables in the Higashihiroshima city, Japan and subjected to antimicrobial susceptibility testing, conjugation experiments and complete genome sequence using Illumina MiniSeq and Oxford Nanopore sequencing platforms. The two K. pneumoniae isolates were clonal, belonging to ST15 and were detected to carry 19 different antimicrobial resistance genes, including blaNDM-1. Both the isolates carried blaNDM-1 on a self-transmissible IncFII(K):IncR plasmid of 122,804 bp in size with other antimicrobial resistance genes against aminoglycosides (aac(6')-Ib, aadA1, aph(3')-VI), β-lactams (blaCTXM-15, blaOXA-9, blaTEM-1A), fluoroquinolones (aac(6')-Ib-cr), and quinolones (qnrS1). A. baumannii AO22 carried blaOXA-66 on the chromosome, while blaOXA-72 was found as two copies on a GR2-type plasmid of 10,880 bp in size. Interestingly, A. baumannii AO22 harbored AbaR4-like genomic resistance island (GI) of 41,665 bp carrying antimicrobial resistance genes against tetracycline [tet(B)], sulfonamides (sul2), and streptomycin (strAB). Here, we identified Japanese carbapenemase-producing Gram-negative bacterias isolated from vegetables posing a food safety issue and a public health concern. Additionally, we reported a GR2-type plasmid carrying two copies of blaOXA-72 and an AbaR4-like resistance island from a foodborne A. baumannii.
IMPORTANCE
Carbapenemase-producing Gram-negative bacteria (CPGNB) cause severe health care-associated infections and constitute a major public health threat. Here, we investigated the genetic features of CPGNB isolated from fresh vegetable samples in Japan and found CPGNB, including Klebsiella pneumoniae and Acinetobacter baumannii, with dissimilar carbapenemases. The rarely described NDM carbapenemase in Japan was detected in two K. pneumoniae isolates. A. baumannii isolate, identified in this study, carried blaOXA-66 on the chromosome, while blaOXA-72 was found as two copies on a GR2-type plasmid. This study illustrated that even one fresh ready-to-eat vegetable sample might serve as a significant source of resistance genes (blaNDM-1, blaOXA-72, blaCTX-M-14b, and blaCTX-M-15) to frontline and clinically important antibiotics (carbapenems and cephalosporins). Furthermore, the detection of these organisms in fresh vegetables in Japan is alarming and poses a food safety issue and a public health concern.