{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T02:18:59Z","timestamp":1780453139024,"version":"3.54.1"},"reference-count":45,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["AMicr"],"published-print":{"date-parts":[[2024,9,18]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study examined the prevalence and antibiotic resistance pattern of <jats:italic>bla<\/jats:italic><jats:sub>CTX-M<\/jats:sub> extended-spectrum \u03b2-lactamase positive <jats:italic>Salmonella<\/jats:italic> species isolated from a hospital in Weifang. <jats:italic>Salmonella<\/jats:italic> strains were isolated from hospitalized patients from January 2018 to April 2023. Whole-genome sequencing was performed by Illumina platform. CTX-M-producing <jats:italic>Salmonella<\/jats:italic> were identified by Comprehensive Antibiotic Research Database (CARD). Strain susceptibility to six antimicrobial agents was assessed by BD Phoenix\u2122 M50 System. MLST analysis confirmed sequence types and additionally, serotypes were determined by SeqSero2. Genetic environments of <jats:italic>bla<\/jats:italic><jats:sub>CTX-M<\/jats:sub> genes were analyzed by Isfinder and BLASTn. Single nucleotide polymorphisms were used to construct a phylogenetic tree to analyze homology.\u00a0A total of 34 CTX-M-producing <jats:italic>Salmonella<\/jats:italic> were detected. The most prevalent serotype was <jats:italic>Salmonella enterica<\/jats:italic> subsp. <jats:italic>enterica<\/jats:italic> 1,4,[5],12:i:- (14\/34, 41.18%), belonging to ST34, followed by <jats:italic>Salmonella<\/jats:italic>\u00a0Enteritidis (10\/34, 29.41%), belonging to ST11. The highest resistance rate was detected to ampicillin (97.06%), followed by ceftriaxone (94.12%) and ceftazidime (58.83%). In CTX-M-producing <jats:italic>Salmonella<\/jats:italic> five types of <jats:italic>bla<\/jats:italic><jats:sub>CTX-M<\/jats:sub> genes were identified, the most prevalent was <jats:italic>bla<\/jats:italic><jats:sub>CTX-M-55<\/jats:sub> (47.06%, 16\/34), followed by <jats:italic>bla<\/jats:italic><jats:sub>CTX-M-14<\/jats:sub>, <jats:italic>bla<\/jats:italic><jats:sub>CTX-M-65<\/jats:sub>, <jats:italic>bla<\/jats:italic><jats:sub>CTX-M-125<\/jats:sub>, and <jats:italic>bla<\/jats:italic><jats:sub>CTX-M-27<\/jats:sub> at 26.47% (9\/34), 11.77% (4\/34), 8.82% (3\/34), and 5.88% (2\/34), respectively. Apart from <jats:italic>bla<\/jats:italic><jats:sub>CTX-M<\/jats:sub>, 40 antibiotic resistance genes were also detected, conveying resistance to multiple drugs and the most frequent genes were namely, <jats:italic>mcr-1.1, aph(6)-Id, aph(3\u2033)-Ib, oqxAB, qnrB6, qnrS1<\/jats:italic>. According to genetic environment analysis, the insertion sequence IS<jats:italic>Ecp1<\/jats:italic> was prevalent upstream of the <jats:italic>bla<\/jats:italic><jats:sub>CTX-M<\/jats:sub> gene. Our study demonstrates that multiple resistance genes are carried by clinical isolates of <jats:italic>Salmonella<\/jats:italic> spp. however, the dominant ESBL genotype is CTX-M-55, that is associated with IS<jats:italic>Ecp1<\/jats:italic>.<\/jats:p>","DOI":"10.1556\/030.2024.02347","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T13:12:43Z","timestamp":1725369163000},"page":"220-227","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and characteristics of ESBL-producing Salmonella in Weifang, China"],"prefix":"10.1556","volume":"71","author":[{"given":"Xuesong","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory, Weifang People's Hospital, Weifang, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binglei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of ICU, Weifang People's Hospital, Weifang, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohong","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Weifang People's Hospital, Weifang, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Weifang People's Hospital, Weifang, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7354-3160","authenticated-orcid":true,"given":"Zhanzhao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Weifang People's Hospital, Weifang, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8755-5035","authenticated-orcid":true,"given":"Yuhui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Weifang People's Hospital, Weifang, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"issue":"7","key":"B1","series-title":"Emerg Infect Dis","first-page":"774","article-title":"Salmonella control programs in Denmark","volume":"9","author":"Wegener HC","year":"2003","unstructured":"Wegener HC, Hald T, Lo Fo Wong D, Madsen M, Korsgaard H, Bage F, et al. 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