Emergence of Carbapenemase-Producing Hypervirulent Klebsiella pneumoniae in Switzerland.
Details
Serval ID
serval:BIB_F1A13E0CC95B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Emergence of Carbapenemase-Producing Hypervirulent Klebsiella pneumoniae in Switzerland.
Journal
Antimicrobial agents and chemotherapy
ISSN
1098-6596 (Electronic)
ISSN-L
0066-4804
Publication state
Published
Issued date
16/03/2023
Peer-reviewed
Oui
Volume
67
Number
3
Pages
e0142422
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
Increasing occurrence of multidrug-resistant (MDR) and hypervirulent (hv) Klebsiella pneumoniae (MDR-hvKp) convergent clones is being observed. Those strains have the potential of causing difficult-to-treat infections in healthy adults with an increased capacity for mortality. It is therefore crucial to track their dissemination to prevent their further spread. The aim of our study was to investigate the occurrence of carbapenemase-producing hvKp isolates in Switzerland and to determine their genetic profile. A total of 279 MDR carbapenemase-producing K. pneumoniae from patients hospitalized all over Switzerland was investigated, and a rate of 9.0% K. pneumoniae presenting a virulence genotype was identified. Those isolates produced either KPC, NDM, or OXA-48 and had been either recovered from rectal swabs, urine, and blood. A series of previously reported K. pneumoniae clones such as ST23-K1, ST395-K2, and ST147-K20 or ST147-K64 were identified. All the isolates defined as MDR-hvKp (4.7%) possessed the aerobactin and the yersiniabactin clusters. The ST23-K1s were the only isolates presenting the colibactin cluster and achieved higher virulence scores. This study highlights the occurrence and circulation of worrisome MDR-hvKp and MDR nonhypervirulent K. pneumoniae (MDR-nhv-Kp) isolates in Switzerland. Our findings raise an alert regarding the need for active surveillance networks to track and monitor the spread of such successful hybrid clones representing a public health threat worldwide.
Keywords
Adult, Humans, Klebsiella pneumoniae, Switzerland/epidemiology, Bacterial Proteins/genetics, beta-Lactamases/genetics, Klebsiella Infections/drug therapy, Klebsiella Infections/epidemiology, Anti-Bacterial Agents/pharmacology, Anti-Bacterial Agents/therapeutic use, carbapenemase, convergent clones, hypervirulence, multidrug resistance
Pubmed
Web of science
Create date
03/03/2023 12:50
Last modification date
16/11/2023 7:09