Microorganisms,
Journal Year:
2023,
Volume and Issue:
11(5), P. 1314 - 1314
Published: May 17, 2023
Klebsiella
pneumoniae,
a
member
of
the
Enterobacteriaceae
family,
has
become
dangerous
pathogen
accountable
for
large
fraction
various
infectious
diseases
in
both
clinical
and
community
settings.
In
general,
K.
pneumoniae
population
been
divided
into
so-called
classical
(cKp)
hypervirulent
(hvKp)
lineages.
The
former,
usually
developing
hospitals,
can
rapidly
acquire
resistance
to
wide
spectrum
antimicrobial
drugs,
while
latter
is
associated
with
more
aggressive
but
less
resistant
infections,
mostly
healthy
humans.
However,
growing
number
reports
last
decade
have
confirmed
convergence
these
two
distinct
lineages
superpathogen
clones
possessing
properties
both,
thus
imposing
significant
threat
public
health
worldwide.
This
process
horizontal
gene
transfer,
which
plasmid
conjugation
plays
very
important
role.
Therefore,
investigation
structures
ways
plasmids
spread
within
between
bacterial
species
will
provide
benefits
prevention
measures
against
powerful
pathogens.
this
work,
we
investigated
multidrug-resistant
isolates
using
long-
short-read
whole-genome
sequencing,
allowed
us
reveal
fusion
IncHI1B/IncFIB
ST512
capable
simultaneously
carrying
hypervirulence
(iucABCD,
iutA,
prmpA,
peg-344)
determinants
(armA,
blaNDM-1
others),
obtain
insights
their
formation
transmission
mechanisms.
Comprehensive
phenotypic,
genotypic
phylogenetic
analysis
isolates,
as
well
repertoire,
was
performed.
data
obtained
facilitate
epidemiological
surveillance
high-risk
development
strategies
them.
Journal of Infection and Public Health,
Journal Year:
2024,
Volume and Issue:
17(3), P. 457 - 463
Published: Jan. 9, 2024
Our
objective
was
to
investigate
the
prevalence
of
plasmid-mediated
quinolone
resistance
(PMQR)
genes
in
fluoroquinolone-nonsusceptible
Klebsiella
pneumoniae
(FQNSKP)
Taiwan,
1999-2022.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 5, 2024
Abstract
Background
Klebsiella
pneumoniae
(Kp)
is
an
important
pathogen
of
humans
and
animals,
recent
reports
‘convergent’
strains
that
carry
both
virulence
antimicrobial
resistance
genes
(ARGs)
have
raised
serious
public
health
concern.
The
plasmid-borne
iuc
locus,
encoding
the
siderophore
aerobactin,
a
key
factor
in
this
species.
variant
3
associated
with
porcine
human
clinical
isolates
carried
by
mostly
uncharacterised
IncF
plasmids.
Methods
We
used
combination
short-read
long-read
sequencing
to
characterise
IncFIB(K)/IncFII
3-carrying
plasmids
harboured
79
Kp
one
K.
oxytoca
isolate
recovered
as
part
two
large
‘One-Health’
studies
Italy
(SpARK)
Thailand
(OH-DART).
Adding
data
from
repositories
gave
combined
dataset
517
isolates,
were
analysed
using
clustering
phylogenetic
methods.
Findings
note
seven
large,
convergent,
emerged
through
hybridisation
co-circulating
harbouring
extended-spectrum
beta-lactamases
(ESBLs).
also
able
identify
putative
parental
which
neighbouring
meat
markets,
hybrid
Clustering
global
analyses
resolved
plasmid
sub-group
circulating
throughout
Asia,
occasional
examples
Europe
elsewhere.
This
carries
multiple
ARGs
commonly
thus
warranting
targeted
surveillance.
Interpretation
Our
study
reveals
leading
convergence
traits
may
be
very
common,
even
non-clinical
(‘One-Health’)
settings.
Population-scale
genomics
makes
it
possible
plasmids,
will
help
types
are
most
likely
hybridise,
what
selective
consequences
for
host.
A
distinct
sub-variant
Asia
requires
close
monitoring.
Research
In
Context
Multiple
clones
combine
hypervirulence
multidrug
(MDR-hvKp)
been
published
recently;
PubMed
search
November
2023
words
‘convergence
’
returned
143
papers,
99
2020
onwards.
demonstrates
carrying
AMR
frequent,
ongoing,
process
natural
populations.
subsequent
transfer
conferring
driver
behind
spread
convergent
strains.
provides
exemplar
how
assemblies
can
facilitate
large-scale
genomic
epidemiology.
Evidence
before
Although
highlight
emergence
strains,
confluence
within
same
has
not
studied
at
population
level,
rarely
identified.
Moreover,
there
few
high-resolution
epidemiology
on
closely
related
long
scale.
Added
value
more
than
double
number
complete
sequences
available
58
139
provide
evidence
host
lineages
harbour
these
(e.g.,
ST35),
epidemiological
source
pig,
wild
animal,
human).
comparative
analysis
approaches
inform
future
studies.
Implications
occurs
frequently
populations,
However,
drivers
(if
any)
evolutionary
phenomenon
unclear.
There
clear
utility
generating
closed
genomes
scale,
surveillance
warranted.
Journal of Global Antimicrobial Resistance,
Journal Year:
2024,
Volume and Issue:
38, P. 376 - 388
Published: July 26, 2024
In
response
to
the
growing
global
concerns
regarding
antibiotic
resistance,
we
conducted
a
meta-analysis
assess
prevalence
of
resistance
in
hypervirulent
Klebsiella
pneumoniae
(hvKp)
strains.
Antibiotics,
Journal Year:
2022,
Volume and Issue:
11(8), P. 1031 - 1031
Published: July 30, 2022
The
accelerated
dispersion
of
multidrug-resistant
(MDR)
Escherichia
coli
due
to
the
production
extended-spectrum
β-lactamases
(ESBLs)
or
AmpC
enzymes
has
been
noted
in
Egypt,
presenting
a
serious
treatment
challenge.
In
this
study,
we
investigate
prevalence
ESBLs
and
among
48
E.
isolates
collected
from
patients
with
urinary
tract
infections
admitted
teaching
hospital
Alexandria.
Phenotypic
genotypic
methods
detection
are
conducted.
Isolates
producing
both
tested
for
mobilization
their
genes
by
broth
mating
experiment.
Whole
genome
sequencing
(WGS)
is
performed
isolate
EC13655.
results
indicate
that
80%
MDR,
which
52%
13%
were
ESBL
producers,
respectively.
Conjugation
experiments
fail
show
blaCMY-2
EC13655,
was
chosen
WGS.
silico
analysis
reveals
belongs
ST410-H24Rx
high-risk
clone.
It
coharbors
ESBL-encoding
blaCTX-M-15,
blaTEM-1,
blaOXA-1
blaNDM-5
on
an
IncFIA/IncFIB/IncFII/IncQ1
multireplicon
plasmid.
chromosomal
location
detected
flanking
upstream
copy
ISEcp1.
This
integration
establishes
stable
maintenance
gene
thus,
necessitates
imperative
local
surveillance
reduce
further
spread
such
strains
different
clinical
settings.
Microorganisms,
Journal Year:
2023,
Volume and Issue:
11(5), P. 1314 - 1314
Published: May 17, 2023
Klebsiella
pneumoniae,
a
member
of
the
Enterobacteriaceae
family,
has
become
dangerous
pathogen
accountable
for
large
fraction
various
infectious
diseases
in
both
clinical
and
community
settings.
In
general,
K.
pneumoniae
population
been
divided
into
so-called
classical
(cKp)
hypervirulent
(hvKp)
lineages.
The
former,
usually
developing
hospitals,
can
rapidly
acquire
resistance
to
wide
spectrum
antimicrobial
drugs,
while
latter
is
associated
with
more
aggressive
but
less
resistant
infections,
mostly
healthy
humans.
However,
growing
number
reports
last
decade
have
confirmed
convergence
these
two
distinct
lineages
superpathogen
clones
possessing
properties
both,
thus
imposing
significant
threat
public
health
worldwide.
This
process
horizontal
gene
transfer,
which
plasmid
conjugation
plays
very
important
role.
Therefore,
investigation
structures
ways
plasmids
spread
within
between
bacterial
species
will
provide
benefits
prevention
measures
against
powerful
pathogens.
this
work,
we
investigated
multidrug-resistant
isolates
using
long-
short-read
whole-genome
sequencing,
allowed
us
reveal
fusion
IncHI1B/IncFIB
ST512
capable
simultaneously
carrying
hypervirulence
(iucABCD,
iutA,
prmpA,
peg-344)
determinants
(armA,
blaNDM-1
others),
obtain
insights
their
formation
transmission
mechanisms.
Comprehensive
phenotypic,
genotypic
phylogenetic
analysis
isolates,
as
well
repertoire,
was
performed.
data
obtained
facilitate
epidemiological
surveillance
high-risk
development
strategies
them.