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From December 2004 to March 2005, 27 Klebsiella pneumoniae clinical isolates that were positive by the imipenem-EDTA double-disk synergy test and that exhibited a single macro-restriction pattern were recovered in two distinct Greek hospitals. The isolates carried a transferable bla(VIM-1) metallo-beta-lactamase gene in a class 1 integron. Reverse transcriptase PCR showed that the gene was similarly expressed in low- and high-level carbapenem-resistant isolates, indicating the existence of additional resistance mechanisms. The clonal spread of VIM-1-producing K. pneumoniae strains in distinct regions where up to now bla(VIM-2) and bla(VIM-4) alleles were common is worrisome.

Outbreaks in Distinct Regions Due to a Single Klebsiella pneumoniae Clone Carrying a bla VIM-1 Metallo-β-Lactamase Gene

Outbreaks in Distinct Regions Due to a Single Klebsiella pneumoniae Clone Carrying a bla _VIM-1 Metallo-β-Lactamase Gene