Cross-border spread of blaNDM-1- and blaOXA-48-positive Klebsiella pneumoniae: a European collaborative analysis of whole genome sequencing and epidemiological data, 2014 to 2019

Autor: Te-Din Huang, Marc Struelens, Sören Gatermann, Agnès B Jousset, Felix Lötsch, Erik Alm, Sebastian Haller, Monica Monaco, Mateja Pirs, Jesús Oteo-Iglesias, Daniel Palm, Ørjan Samuelsen, Jari Jalava, Maria Del Grosso, Petra Edquist, Wendy Brennan, Henrik Hasman, Karin Johansson, Leo M. Schouls, Tjaša Cerar, Dominique L Monnet, Kati Räisänen, Laurent Dortet, Olivier Denis, Katie L. Hopkins, Narender Kumar, Anette M. Hammerum, Anke Kohlenberg, Martin Cormican, Karin Sjöström, Catherine Ludden, Barbara Albiger, María Pérez-Vázquez
Rok vydání: 2020
Předmět:
0301 basic medicine
medicine.medical_specialty
Epidemiology
Klebsiella pneumoniae
030106 microbiology
Sequencing data
Microbial Sensitivity Tests
NDM-1
beta-Lactamases
Disease Outbreaks
03 medical and health sciences
carbapenemase
0302 clinical medicine
Antibiotic resistance
Bacterial Proteins
Virology
medicine
media_common.cataloged_instance
Humans
030212 general & internal medicine
European union
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Lungesykdommer: 777
Klebsiella pneumonia
OXA-48
media_common
Genetics
Whole genome sequencing
whole genome sequencing
biology
Public Health
Environmental and Occupational Health

Emigration and Immigration
biochemical phenomena
metabolism
and nutrition

medicine.disease
biology.organism_classification
Anti-Bacterial Agents
Klebsiella Infections
Geography
Carbapenem-Resistant Enterobacteriaceae
Carbapenems
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Lung diseases: 777
surveillance
cross-border import
OXA-48
NDM-1

carbapenem-resistant Enterobacterales
Rapid Communication
geographic locations
Zdroj: Repisalud
Instituto de Salud Carlos III (ISCIII)
Eurosurveillance
Popis: An alert regarding an outbreak of carbapenem-resistant Klebsiella pneumoniae carrying bla NDM-1 and bla OXA-48 carbapenemase-encoding genes was sent by Germany to European Union (EU)/European Economic Area (EEA) countries in October 2019. Since only limited whole genome sequencing (WGS) data on bla NDM-1- and bla OXA-48-positive K. pneumoniae were available in the public domain, national public health reference or equivalent expert laboratories from EU/EEA countries were invited to share WGS data from their national collections with the European Centre for Disease Prevention and Control (ECDC) to investigate the international dissemination of this epidemic strain. The analysis identified a Finnish case with an isolate closely related to the German outbreak strain and with an epidemiological link to St. Petersburg, Russia. In addition, several other clusters of genetically related bla NDM-1- and bla OXA-48-positive K. pneumoniae unrelated to the German outbreak strain but affecting numerous EU/EEA countries were identified. The aim of this follow-up investigation was to characterise these clusters based on the integrated analysis of the WGS dataset on bla NDM-1 - and bla OXA-48-positive K. pneumoniae submitted from 13 EU/EEA countries and additional epidemiological data.
Databáze: OpenAIRE