TY - JOUR
T1 - Within-patient horizontal transfer of pOXA-48 from a hypervirulent Klebsiella pneumoniae SL218 to Serratia marcescens following spread of the K. pneumoniae isolate among hospitalised patients, Denmark, 2021
AU - Nielsen, Karen Leth
AU - Sørensen, Marc
AU - Hertz, Frederik Boëtius
AU - Misiakou, Maria Anna
AU - Hasman, Henrik
AU - Häussler, Susanne
AU - Helleberg, Marie
AU - Schønning, Kristian
PY - 2023
Y1 - 2023
N2 - A hypervirulent Klebsiella pneumoniae SL218 (ST23-KL57), phylogenetically distinct from the classical hypervirulent SL23 (ST23-KL1) lineage, was transmitted between hospitalised patients in Denmark in 2021. The isolate carried a hybrid resistance and virulence plasmid containing blaNDM-1 and a plasmid containing blaOXA-48 (pOXA-48); the latter plasmid was horizontally transferred within-patient to Serratia marcescens. The convergence of drug resistance and virulence factors in single plasmids and in different lineages of K. pneumoniae is concerning and requires surveillance.
AB - A hypervirulent Klebsiella pneumoniae SL218 (ST23-KL57), phylogenetically distinct from the classical hypervirulent SL23 (ST23-KL1) lineage, was transmitted between hospitalised patients in Denmark in 2021. The isolate carried a hybrid resistance and virulence plasmid containing blaNDM-1 and a plasmid containing blaOXA-48 (pOXA-48); the latter plasmid was horizontally transferred within-patient to Serratia marcescens. The convergence of drug resistance and virulence factors in single plasmids and in different lineages of K. pneumoniae is concerning and requires surveillance.
KW - antimicrobial resistance
KW - Hospital-acquired infections
KW - hypervirulent K. pneumoniae
KW - OXA-48
KW - within-patient plasmid transfer
U2 - 10.2807/1560-7917.ES.2023.28.17.2300196
DO - 10.2807/1560-7917.ES.2023.28.17.2300196
M3 - Journal article
C2 - 37103784
AN - SCOPUS:85159241948
SN - 1025-496X
VL - 28
JO - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
JF - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
IS - 17
ER -