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Cross-border spread of a mosaic resistance (OXA-48) and virulence (aerobactin) plasmid in Klebsiella pneumoniae: a European Antimicrobial Resistance Genes Surveillance Network investigation, Europe, February 2019 to October 2024

Linkevicius, Marius
Alm, Erik
Roer, Louise
Svartström, Olov
Dada-Olorunwa, Maria
Räisänen, Kati
Reichert, Felix
Möller, Sophie
Clarke, Christina
Cormican, Martin
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Journal Article
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Language
en
Date of publication
2025-07-10
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Title
Cross-border spread of a mosaic resistance (OXA-48) and virulence (aerobactin) plasmid in Klebsiella pneumoniae: a European Antimicrobial Resistance Genes Surveillance Network investigation, Europe, February 2019 to October 2024
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Euro Surveill 2025; 30(27):2500439
Abstract
An investigation of the European Antimicrobial Resistance Genes Surveillance Network (EURGen-Net) detected the same mosaic IncHI1B(pNDM-MAR) resistance (OXA-48) and virulence (aerobactin) plasmid in 492 isolates from eight European Union countries during 2019-2024. Involvement of various sequence types (STs), multiple introductions, followed by large clonal outbreaks of three STs (ST147, ST392, ST45) carrying the plasmid in two countries indicate a high risk for further spread of this plasmid and a potential for difficult-to-treat infections to rise.
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