1. International and regional spread of carbapenem-resistant Klebsiella pneumoniae in Europe.
- Author
-
Budia-Silva, Mabel, Kostyanev, Tomislav, Ayala-Montaño, Stefany, Bravo-Ferrer Acosta, Jose, Garcia-Castillo, Maria, Cantón, Rafael, Goossens, Herman, Rodriguez-Baño, Jesus, Grundmann, Hajo, and Reuter, Sandra
- Subjects
CARBAPENEM-resistant bacteria ,MOBILE genetic elements ,ENTEROBACTERIACEAE ,DRUG resistance in bacteria ,MOLECULAR cloning ,REGIONAL differences ,KLEBSIELLA pneumoniae - Abstract
Carbapenem-resistant Klebsiella pneumoniae (CRKP) are of particular concern due to the spread of antibiotic resistance genes associated with mobile genetic elements. In this study, we collected 687 carbapenem-resistant strains recovered among clinical samples from 41 hospitals in nine Southern European countries (2016-2018). We identified 11 major clonal lineages, with most isolates belonging to the high-risk clones ST258/512, ST101, ST11, and ST307. bla
KPC-like was the most prevalent carbapenemase-encoding gene (46%), with blaOXA-48 present in 39% of isolates. Through the combination and comparison of this EURECA collection with the previous EuSCAPE collection (2013-2014), we investigated the spread of high-risk clones circulating in Europe exhibiting regional differences. We particularly found blaKPC-like ST258/512 in Greece, Italy, and Spain, blaOXA-48 ST101 in Serbia and Romania, blaNDM ST11 in Greece, and blaOXA-48-like ST14 in Türkiye. Genomic surveillance across Europe thus provides crucial insights for local risk mapping and informs necessary adaptions for implementation of control strategies. Klebsiella pneumoniae is an opportunistic pathogen of increasing concern due to the spread of carbapenem resistance. In this study, the authors sequence carbapenem-resistant strains from a hospital surveillance network in southern Europe, describe evolution of high-risk clones, and identify locally important lineages. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF