Cross-border spread of blaN DM-1- and blaOX A-48 positive Klebsiella pneumoniae: a European collabo-rative analysis of whole genome sequencing and epidemiological data, 2014 to 2019
Ludden, Catherine
Lötsch, Felix
Alm, Erik
Kumar, Narender
Johansson, Karin
Albiger, Barbara
Huang, Te-Din
Denis, Olivier
Hammerum, Anette M
Hasman, Henrik
Jalava, Jari
Räisänen, Kati
Dortet, Laurent
Jousset, Agnès B
Gatermann, Sören
Haller, Sebastian
Cormican, Martin
Brennan, Wendy
Del Grosso, Maria
Monaco, Monica
Schouls, Leo
Samuelsen, Ørjan
Pirš, Mateja
Cerar, Tjaša
Oteo-Iglesias, Jésus
Pérez-Vázquez, Maria
Sjöström, Karin
Edquist, Petra
Hopkins, Katie L
Struelens, Marc J
Palm, Daniel
Monnet, Dominique L
Kohlenberg, Anke
Analysis of sequencing data for 143 blaNDM-1- and blaOXA-48-positive Klebsiella pneumoniae isolates from 13 European national collections and the public domain resulted in the identification of 15 previously undetected multi-country transmission clusters. For 10 clusters, cases had prior travel/hospitalisation history in countries outside of the European Union including Egypt, Iran, Morocco, Russia, Serbia, Tunisia and Turkey. These findings highlight the benefit of European whole genome sequencing-based surveillance and data sharing for control of antimicrobial resistance.