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北京某三级医院碳青霉烯类耐药肺炎克雷伯菌的遗传和表型特征
Authors Ni Q, Yao X, Li J, Ma J, Wang K, Liu X, Li P, Yang L, Li P, Li S
Received 2 November 2022
Accepted for publication 9 December 2022
Published 19 December 2022 Volume 2022:15 Pages 7503—7508
DOI https://doi.org/10.2147/IDR.S395920
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Héctor M. Mora-Montes
Objective: Klebsiella pneumoniae is a common multidrug-resistant pathogen that jeopardizes the health of hospitalized patients. We aimed to study the phenotypic and genotypic characteristics of carbapenem-resistant K. pneumoniae (CRKP) isolates from a hospital in Beijing.
Methods: Twenty-four CRKP clinical isolates were collected within a half-year to investigate antimicrobial resistance and genomic characteristics. Illumina and Nanopore sequencing were performed to assemble and annotate genomes.
Results: All strains were multi-drug resistant. Twenty-two strains carried the bla KPC-2 gene and two harbored bla NDM-5. Multilocus sequence type (MLST) analysis identified five sequence types; most isolates belonged to ST11. Three strains were isolated from the same patient; each carried a different plasmid replicon, either IncFII (pHN7A8), IncX, or IncFIB (K).
Conclusion: This study furthers the understanding of CRKP antimicrobial resistance genotypes, and may facilitate the control of nosocomial infections caused by antimicrobial-resistant pathogens.
Keywords: Klebsiella pneumoniae , drug resistance, carbapenemase, ST11, bla KPC-2