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First Outbreak of a Plasmid-Mediated Carbapenem-Hydrolyzing OXA-48 β-Lactamase in Klebsiella pneumoniae in Spain
Author(s) -
Cristina Pitart,
Mar Solé,
Ignasi Roca,
Anna Fàbrega,
Jordi Vilà,
Francesc Marco
Publication year - 2011
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00329-11
Subject(s) - klebsiella pneumoniae , microbiology and biotechnology , outbreak , plasmid , biology , carbapenem , enterobacteriaceae , klebsiella infections , klebsiella , virology , antibiotics , escherichia coli , gene , genetics
TwentyKlebsiella pneumoniae isolates producing OXA-48 were collected from April 2009 to September 2010. Strains were clonally related and coproduced a CTX-M-15 β-lactamase. A conjugative plasmid of circa 70 kb carryingbla OXA-48 was identified. Eleven isolates showed low-level resistance to carbapenems, whereas nine showed high-level resistance. Decreased expression of OmpK36 was related to high-level resistance to carbapenems. The isolates belonged to sequence type 101 (ST101). This is the first outbreak caused by an OXA-48-producingK. pneumoniae strain in Spain.

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