KPC-3-producing Klebsiella pneumoniae in Portugal linked to previously circulating non-CG258 lineages and uncommon genetic platforms (Tn4401d-IncFIA and Tn4401d-IncN)

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F16%3A43875613" target="_blank" >RIV/60162694:G44__/16:43875613 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11160/16:10338244

Result on the web

<a href="http://journal.frontiersin.org/article/10.3389/fmicb.2016.01000/full" target="_blank" >http://journal.frontiersin.org/article/10.3389/fmicb.2016.01000/full</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fmicb.2016.01000" target="_blank" >10.3389/fmicb.2016.01000</a>

Result language

angličtina

Original language name

KPC-3-producing Klebsiella pneumoniae in Portugal linked to previously circulating non-CG258 lineages and uncommon genetic platforms (Tn4401d-IncFIA and Tn4401d-IncN)

Original language description

Twenty KPC-producing K. pneumoniae identified between October 2014 and November 2015 in three different community laboratories were characterized. Isolates were mainly from patients from long-term care facilities (n = 11) or nursing homes (n = 6), most of them (75%) previously hospitalized in different Portuguese hospitals. Standard methods were used for bacterial identification and antibiotic susceptibility testing. Carbapenemase production was assessed by the Blue-Carba test, and identification of bla genes was performed by PCR and sequencing. Epidemiological features of KPC-producing K. pneumoniae included population structure (Xbal-PFGE, MLST and wzi sequencing), genetic context (mapping of Tn4401), and plasmid (replicon typing, S1-PFGE, and hybridization) analysis. All K. pneumoniae isolates produced KPC-3, with two MDR K. pneumoniae epidemic clones representing 75% of the isolates, namely ST147 (wzi64/K14.64, February November 2015) and ST15 (two lineages exhibiting capsular types wzil9/K19 or wzi93/K60, July-November 2015). Other sporadic clones were detected: ST231 (n = 3; wzi104), ST348 (n = 1; wz194) and ST109 (n = 1, wz122/K22.37). b/a(KPC-3) was identified within Tn4401d in all isolates, located in most cases (80%) on cointegrated plasmids (repA(FIA)+repA(FII)+ori(CoIE1);105-250 kb) or in 50 kb IncN plasmids. In conclusion, this study highlights a polyclonal structure of KPC-3-producing K. pneumoniae and the predominance of the ST147 clone among non-hospitalized patients in Portugal, linked to platforms still unnoticed in Europe (b/a(KPC-3)-Tn4401d-IncFIA) or firstly reported (b/a(KPC-3)-Tn4401d-InoN). This scenario underlines the recent penetration of successful mobile genetic elements in previously circulating MDR K. pneumoniae lineages (mainly ST147 and ST15) in Portugal, rather than the importation of the global lineages from clonal group 258.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

EE - Microbiology, virology

OECD FORD branch

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Project

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Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Frontiers in Microbiology

ISSN

1664-302X

e-ISSN

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Volume of the periodical

7

Issue of the periodical within the volume

June

Country of publishing house

CH - SWITZERLAND

Number of pages

8

Pages from-to

"Article Number: 1000"

UT code for WoS article

000378685100002

EID of the result in the Scopus database

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