
BMC Infectious Diseases, Journal Year: 2024, Volume and Issue: 24(1)
Published: Oct. 22, 2024
Abstract Background Ongoing studies have revealed the global prevalence of severe infections caused by hypervirulent strains Klebsiella pneumoniae (K. pneumoniae) . Meanwhile, World Health Organization and Centers for Disease Control declared carbapenem-resistant K. as an urgent public health threat, requiring swift effective action to mitigate its spread. Low- middle-income countries are severely impacted such devastating infectious diseases owing ill implementation antimicrobial practices infection control policies. Having both hypervirulence carbapenemase gene determinants, emergence convergent is now being reported worldwide. Methods In this study, we sequenced 19 carbapenemase-producing recovered from various clinical specimens. Additionally, evaluated phenotypic susceptibility multiple classes using VITEK2 automated system. Utilizing sequencing data, characterized sequence types, serotypes, pangenome, resistance profiles, virulence mobile genetic elements examined isolates. We highlighted high-risk clones carrying determinants among screened Results Our findings that all isolates exhibited either extensive- or pan-drug harbored variants genes spanning nearly classes. The most prevalent detected within were bla NDM−5 OXA−48 identified clones, ST383-K30, ST147-K64, ST11-K15, ST14-K2, which may evolved into putative acquiring full set hypervirulence-associated ( iucABCD , rmpA and/ rmpA2 transporter peg-344 ). study ST709-K9 a clone first time uncovered capsule types K15 K9 carried determinants. frequent Inc found in these Col440I, IncHI1B, FII(K). Conclusion This highlights high-risk, extensively co-carrying Egyptian settings. poses imminent threat not only Egypt but also community, underscoring need enhanced surveillance strategies combat pathogen.
Language: Английский