NDLI: Outbreak of KPC-2-producing Enterobacteriaceae caused by clonal dissemination of Klebsiella pneumoniae ST307 carrying an IncX3-type plasmid harboring a truncated Tn4401a.

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Outbreak of KPC-2-producing Enterobacteriaceae caused by clonal dissemination of Klebsiella pneumoniae ST307 carrying an IncX3-type plasmid harboring a truncated Tn4401a.

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Outbreak of KPC-2-producing Enterobacteriaceae caused by clonal dissemination of Klebsiella pneumoniae ST307 carrying an IncX3-type plasmid harboring a truncated Tn4401a.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kim, Jung Ok Song, Sae Am Yoon, Eun-Jeong Shin, Jeong Hwan Lee, Hyukmin Jeong, Seok Hoon Lee, Kyungwon
Spatial Coverage	Republic of Korea
Description	Country affiliation: South Korea Author Affiliation: Kim JO ( Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, South Korea.); Song SA ( Department of Laboratory Medicine, Inje University College of Medicine, Busan, South Korea.); Yoon EJ ( Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, South Korea.); Shin JH ( Department of Laboratory Medicine, Inje University College of Medicine, Busan, South Korea.); Lee H ( Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, South Korea.); Jeong SH ( Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, South Korea. Electronic address: kscpjsh@yuhs.ac.); Lee K ( Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, South Korea.)
Abstract	Over a 5-month period between the end of June and the beginning of November in 2015, a KPC-producing Enterobacteriaceae outbreak occurred in a general hospital in Busan, South Korea, being associated with a total of 50 clinical isolates from 47 patients. Multilocus sequence typing and pulsed-field gel electrophoresis were carried out for strain typing and whole-genome sequencing was performed to characterize the plasmids. A clonal spread of K. pneumoniae sequence type 307 (ST307) carrying a self-transferable IncX3-type plasmid harboring bla was responsible for the outbreak. Sporadic emergence of K. pneumoniae ST697 carrying an IncFII-type plasmid and a ST11 isolate harboring a small plasmid devoid of any known origin of replication were observed to be associated with bla , but no further dissemination of these strains was identified. The results indicated a healthcare-associated infection associated with a bla -harboring plasmid dissemination and a clonal spread of KPC-producing Enterobacteriaceae.
File Format	HTM / HTML
ISSN	07328893
Issue Number	4
Volume Number	87
e-ISSN	18790070
Journal	Diagnostic Microbiology and Infectious Disease
Language	English
Publisher	Elsevier
Publisher Date	2017-04-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Microbiology Discipline Communicable Diseases Enterobacteriaceae Infections Microbiology Enterobacteriaceae Isolation & Purification Klebsiella Infections Klebsiella Pneumoniae Plasmids Genetics Beta-lactamases Bacterial Proteins Cross Infection Disease Outbreaks Electrophoresis, Gel, Pulsed-field Methods Humans Microbial Sensitivity Tests Molecular Epidemiology Multilocus Sequence Typing Republic Of Korea Sequence Analysis, Dna Journal Article
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Microbiology (medical)

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