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Genomic Investigation of a Putative Endoscope-Associated Carbapenem-Resistant Enterobacter cloacae Outbreak Reveals a Wide Diversity of Circulating Strains and Resistance Mutations
Author(s) -
Shawn E. Hawken,
Laraine Washer,
Christopher L. Williams,
Duane W. Newton,
Evan S. Snitkin
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix934
Subject(s) - enterobacter cloacae , outbreak , biology , enterobacter , carbapenem , enterobacteriaceae infections , genetic diversity , microbiology and biotechnology , genetics , virology , gene , enterobacteriaceae , medicine , antibiotics , environmental health , escherichia coli , population
A genomic epidemiologic investigation of a putative carbapenem-resistant Enterobacter cloacae outbreak revealed few plausible instances of nosocomial transmission, highlighting instead the frequent importation of E. cloacae into our hospital. Searching for genetic determinants of carbapenem resistance demonstrated that most resistance is due to convergent mutations in phylogenetically diverse E. cloacae.

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