Journal Articles
- Colistin resistance in Enterobacter spp. isolates in Korea
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Yoon-Kyoung Hong , Ji-Young Lee , Kwan Soo Ko
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J. Microbiol. 2018;56(6):435-440. Published online June 1, 2018
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DOI: https://doi.org/10.1007/s12275-018-7449-0
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Abstract
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We investigated the colistin resistance rate among 356 Enterobacter
spp. clinical isolates from eight hospitals in Korea.
Antibiotic susceptibility testing was performed by broth microdilution.
While 51 of 213 (23.9%) Enterobacter cloacae isolates
were colistin-resistant, only six of 143 (4.2%) E. aerogenes
isolates showed resistance. We also identified the skip
well phenotype in eight E. cloacae and three E. aerogenes
isolates. Multilocus sequence typing for E. cloacae and randomly
amplified polymorphic DNA analysis and enterobacterial
repetitive intergenic consensus PCR for E. aerogenes
revealed that clonal spreading of colistin-resistant and skip
well Enterobacter spp. isolates had not occurred. In vitro
time-kill assays were performed with three colistin-resistant,
three skip well, and two colistin-susceptible isolates of E. cloacae
and E. aerogenes. Inconsistent results were observed
among isolates with skip well phenotypes; while some were
eradicated by 2 mg/L colistin, others were not. This suggests
that skip well isolates have differentiated into different categories.
As the high rates of colistin resistance in E. cloacae
detected are of clinical concern, continuous monitoring is
warranted. In addition, the clinical implications and mechanisms
of the skip well phenotype should be investigated to
ensure the appropriate use of colistin against Enterobacter
infections.
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Citations
Citations to this article as recorded by

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Emergence of concurrently transmissible
mcr-9
and carbapenemase genes in bloodborne colistin-resistant
Enterobacter cloacae
complex isolated from ICU patients in Kolkata, India
Gourab Halder, Bhaskar Narayan Chaudhury, Priyanka Denny, Mandira Chakraborty, Subhranshu Mandal, Shanta Dutta, Krisztina M. Papp-Wallace
Microbiology Spectrum.2025;[Epub] CrossRef - Colistin resistance among the Gram-negative nosocomial pathogens in India: a systematic review and meta-analysis
Sambit K. Dwibedy, Indira Padhy, Aditya K. Panda, Saswat S. Mohapatra
Journal of Chemotherapy.2024; : 1. CrossRef - Genomic Study of High-Risk Clones of Enterobacter hormaechei Collected from Tertiary Hospitals in the United Arab Emirates
Akela Ghazawi, Febin Anes, Shaimaa Mouftah, Mohammed Elbediwi, Awase Baig, Muna Alketbi, Fatema Almazrouei, Mariam Alhashmi, Norah Alzarooni, Ashrat Manzoor, Ihab Habib, Nikolaos Strepis, Anju Nabi, Mushtaq Khan
Antibiotics.2024; 13(7): 592. CrossRef - Polymyxin resistance in Enterobacter cloacae complex in Brazil: phenotypic and molecular characterization
Bianca Santos da Costa, Renata Stavracakis Peixoto, Orlando Carlos da Conceição Neto, Leilane da Silva Pontes, Thamirys Rachel Tavares e Oliveira, Camila Bastos Tavares Teixeira, Ivson Cassiano de Oliveira Santos, Melise Chaves Silveira, Daiana Cristina S
Brazilian Journal of Microbiology.2024; 55(4): 3541. CrossRef - Detection of Colistin Resistant Enterobacteria Isolates from Human Fecal Samples in the Greater Accra Region of Ghana
Emmanuel Udochukwu Osisiogu, Emmanuel Mawuli Nattah, Fareeda Ceeta Mahmoud, Calebina Ayeyi Appiah, Raphael Eyram Amemo
Research Journal of Microbiology.2023; 18(1): 72. CrossRef - Species identification, antibiotic resistance, and virulence in Enterobacter cloacae complex clinical isolates from South Korea
Michidmaral Ganbold, Jungyu Seo, Yu Mi Wi, Ki Tae Kwon, Kwan Soo Ko
Frontiers in Microbiology.2023;[Epub] CrossRef - High prevalence of colistin heteroresistance in specific species and lineages of Enterobacter cloacae complex derived from human clinical specimens
Shota Fukuzawa, Toyotaka Sato, Kotaro Aoki, Soh Yamamoto, Noriko Ogasawara, Chie Nakajima, Yasuhiko Suzuki, Motohiro Horiuchi, Satoshi Takahashi, Shin-ichi Yokota
Annals of Clinical Microbiology and Antimicrobials.2023;[Epub] CrossRef - Detection of an IMI-2 carbapenemase-producing Enterobacter asburiae at a Swedish feed mill
Stefan Börjesson, Michael S. M. Brouwer, Emma Östlund, Jenny Eriksson, Josefine Elving, Oskar Karlsson Lindsjö, Linda I. Engblom
Frontiers in Microbiology.2022;[Epub] CrossRef - High prevalence of colistin resistance and mcr-9/10 genes in Enterobacter spp. in a tertiary hospital over a decade
Weichao Liao, Yushan Cui, Jingjing Quan, Dongdong Zhao, Xinhong Han, Qiucheng Shi, Qian Wang, Yan Jiang, Xiaoxing Du, Xi Li, Yunsong Yu
International Journal of Antimicrobial Agents.2022; 59(5): 106573. CrossRef - Global colistin use: a review of the emergence of resistant Enterobacterales and the impact on their genetic basis
Ulrike Binsker, Annemarie Käsbohrer, Jens A Hammerl
FEMS Microbiology Reviews.2022;[Epub] CrossRef - Detection of Colistin-Resistant Gram-Negative Bacteria from Water Parks and Wastewater in Marseille, France
Sabah El-Sawalhi, Seydina Diene, Edgarthe Ngaiganam, Sophie Baron, Gilbert Dieng, Isaac Ngom, Adèle Sakr, Linda Hadjadj, Jean-Marc Rolain, Isabelle Pagnier
SSRN Electronic Journal .2022;[Epub] CrossRef - Analysis of colistin resistance in carbapenem-resistant Enterobacterales and XDR Klebsiella pneumoniae
Raunak Bir, Hitender Gautam, Nazneen Arif, Priyanka Chakravarti, Jyoti Verma, Sayantan Banerjee, Sonu Tyagi, Sarita Mohapatra, Seema Sood, Benu Dhawan, Rama Chaudhry, Arti Kapil, Bimal Kumar Das, Bhabatosh Das
Therapeutic Advances in Infectious Disease.2022;[Epub] CrossRef - Antibacterial Activity of LCB10-0200 against Klebsiella pneumoniae
Sang-Hun Oh, Young-Rok Kim, Hee-Soo Park, Kyu-Man Oh, Young-Lag Cho, Jin-Hwan Kwak
Antibiotics.2021; 10(10): 1185. CrossRef - Two Distinct Genotypes of KPC-2-Producing Klebsiella pneumoniae Isolates from South Korea
Jee Hong Kim, Yun Young Cho, Ji Young Choi, Yu Mi Wi, Kwan Soo Ko
Antibiotics.2021; 10(8): 911. CrossRef - Mutations in the two component regulator systems PmrAB and PhoPQ give rise to increased colistin resistance in Citrobacter and Enterobacter spp.
Matthew E. Wand, J. Mark Sutton
Journal of Medical Microbiology
.2020; 69(4): 521. CrossRef - Antibiotic resistance and persistence—Implications for human health and treatment perspectives
Markus Huemer, Srikanth Mairpady Shambat, Silvio D Brugger, Annelies S Zinkernagel
EMBO reports.2020;[Epub] CrossRef - PmrAB and PhoPQ Variants in Colistin-Resistant Enterobacter spp. Isolates in Korea
Yoon-Kyoung Hong, Kwan Soo Ko
Current Microbiology.2019; 76(5): 644. CrossRef - In vitro Activity of Pentamidine Alone and in Combination With Aminoglycosides, Tigecycline, Rifampicin, and Doripenem Against Clinical Strains of Carbapenemase-Producing and/or Colistin-Resistant Enterobacteriaceae
Tania Cebrero-Cangueiro, Rocío Álvarez-Marín, Gema Labrador-Herrera, Younes Smani, Elisa Cordero-Matía, Jerónimo Pachón, María Eugenia Pachón-Ibáñez
Frontiers in Cellular and Infection Microbiology.2018;[Epub] CrossRef
- Imipenem-resistant Gram-negative bacterial isolates carried by persons upon medical examination in Korea
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So Yeon Kim , Sang Yop Shin , Ji-Young Rhee , Kwan Soo Ko
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J. Microbiol. 2017;55(8):612-618. Published online July 18, 2017
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DOI: https://doi.org/10.1007/s12275-017-6555-8
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Abstract
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Carbapenem-resistant Gram-negative bacteria (CR-GNB)
have emerged and disseminated worldwide, become a great
concern worldwide including Korea. The prevalence of fecal
carriage of imipenem-resistant Gram-negative bacteria (IRGNB)
in persons in Korea was investigated. Stool samples
were collected from 300 persons upon medical examination.
Samples were screened for IR-GNB by using MacConkey
agar with 2 μl/ml imipenem. Species were identified by 16S
rRNA gene sequence analysis, and antimicrobial susceptibility
was determined by the broth microdilution method.
In total, 82 IR-GNB bacterial isolates were obtained from
79 (26.3%) out of 300 healthy persons. Multilocus sequence
typing analysis showed very high diversity among IR P. aeruginosa,
S. maltophilia, and E. cloacae isolates, and pulsedfield
gel electrophoresis revealed five main pulsotypes of IR
P. mirabilis. As for the presence of metallo-β-lactamases
(MBLs), only one IMP-25-producing S. marcescens isolate
was identified. Although only one carbapenemase-producing
isolate was identified, the high colonization rates with IRGNB
isolates in this study is notable because carriers may
be a reservoir for the dissemination of resistant pathogens
within the community as well as in health care institutions.
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Citations
Citations to this article as recorded by

- Global mapping of antibiotic resistance rates among clinical isolates of Stenotrophomonas maltophilia: a systematic review and meta-analysis
Narjess Bostanghadiri, Mohammad Sholeh, Tahereh Navidifar, Leila Dadgar-Zankbar, Zahra Elahi, Alex van Belkum, Davood Darban-Sarokhalil
Annals of Clinical Microbiology and Antimicrobials.2024;[Epub] CrossRef - Advances in the Microbiology of Stenotrophomonas maltophilia
Joanna S. Brooke
Clinical Microbiology Reviews.2021;[Epub] CrossRef - Clonal spreading of NDM-5 carbapenemase-producing Escherichia coli isolates in a hospital in South Korea
So Yeon Kim, Jungyu Seo, Juyoun Shin, Yeun-Jun Chung, In Young Jeon, Seon Jin Yun, Yeon-Sook Kim, Kwan Soo Ko
Diagnostic Microbiology and Infectious Disease.2020; 97(2): 115027. CrossRef
Research Support, Non-U.S. Gov'ts
- NOTE] Involvement of Curli Fimbriae in the Biofilm Formation of Enterobacter cloacae
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Sung-Min Kim , Hee-Woo Lee , Yeh-Wan Choi , Shuk-Ho Kim , Je-Chul Lee , Yoo-Chul Lee , Sung-Yong Seol , Dong-Taek Cho , Jungmin Kim
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J. Microbiol. 2012;50(1):175-178. Published online February 27, 2012
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DOI: https://doi.org/10.1007/s12275-012-2044-2
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Abstract
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In this study, we examined the biofilm forming ability, the
mRNA expression of curli genes and the morphologies of
curli fimbriae and biofilms in clinical isolates of Enterobacter
cloacae. The csgBA operon was found in 11 (78.6%) of the
14 isolates. The ability of E. cloacae isolates to form biofilms
was significantly correlated with the mRNA expression level
of the csgA and csgD genes. The curli protein fimbriae appeared
as tangled fibers and the curli-proficient strain formed
mature biofilms. Our data suggest that the expression of the
curli fimbriae play an important role in biofilm formation
in E. cloacae.
- Impact of Genetically Modified Enterobacter cloacae on Indigenous Endophytic Community of Citrus sinensis Seedlings
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Fernando Dini Andreote , Marcelo Jose Mortatti Gullo , Andre Oliveira de Souza Lima , Walter Maccheroni Junior , Joao Lucio Azevedo , Welington Luiz Araujo
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J. Microbiol. 2004;42(3):169-173.
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Abstract
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Enterobacter cloacae (strain PR2/7), a genetically modified endophyte (GME) in citrus plants, carrying different plasmids (pEC3.0/18, pCelE, pEglA and pGFP), was inoculated into Citrus sinensis seedlings under greenhouse conditions. The impact of this on the indigenous bacterial endophytic community was studied by analyses of 2 different morphologic groups. The germination rates of inoculated seeds were evaluated in greenhouse, and plasmid stability under in vitro conditions. Results demonstrated a great and diverse endophytic community inside plants, and specialization in tissue colonization by some bacterial groups, in different treatments. Shifts in seed germination rate were observed among treatments: in general, the PR2/7 harboring pEglA bacterial clone significantly reduced seed germination, compared to the PR2/7 harboring pEC3.0/18 clone. This suggests that the presence of the pEglA plasmid changes bacteria-seed interactions. The endophytic community of citrus seedlings changed according to treatment. In seedlings treated with the PR2/7 with pEglA clone, the population of group II decreased significantly, within the context of the total endophytic community. These results indicate that the application of GMEs induces shifts in the endophytic bacterial community of citrus seedlings.