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AKlebsiella pneumoniae clinical isolate recovered in Tunisia showed resistance to all β-lactams and decreased susceptibility to carbapenems.K. pneumoniae 204 expressed the carbapenem-hydrolyzing β-lactamase OXA-204, differing from OXA-48 by two amino acid substitutions (Gln98His and Thr99Arg) (class D β-lactamase [DBL] numbering). OXA-48 and OXA-204 shared similar resistance profiles, hydrolyzing carbapenems but sparing broad-spectrum cephalosporins. Thebla OXA-204 gene was located on a ca. 150-kb IncA/C-type plasmid, which also carried thebla CMY-4 gene. Thebla OXA-204 gene was associated with an ISEcp1 element, whereas thebla OXA-48 genes are usually associated with IS1999 .

Characterization of OXA-204, a Carbapenem-Hydrolyzing Class D β-Lactamase from Klebsiella pneumoniae