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Mechanisms of Resistance

Diverse Sequence Types of Klebsiella pneumoniae Contribute to the Dissemination of blaNDM-1 in India, Sweden, and the United Kingdom

Christian G. Giske, Inga Fröding, Chowdhury Mehedi Hasan, Agata Turlej-Rogacka, Mark Toleman, David Livermore, Neil Woodford, Timothy R. Walsh
Christian G. Giske
aClinical Microbiology L2:02, Karolinska Institutet—MTC, Karolinska University Hospital, Stockholm, Sweden
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Inga Fröding
aClinical Microbiology L2:02, Karolinska Institutet—MTC, Karolinska University Hospital, Stockholm, Sweden
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Chowdhury Mehedi Hasan
aClinical Microbiology L2:02, Karolinska Institutet—MTC, Karolinska University Hospital, Stockholm, Sweden
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Agata Turlej-Rogacka
aClinical Microbiology L2:02, Karolinska Institutet—MTC, Karolinska University Hospital, Stockholm, Sweden
bNational Medicines Institute, Division of Clinical Microbiology and Infection Prevention, Warsaw, Poland
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Mark Toleman
cCardiff University, Cardiff, United Kingdom
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David Livermore
dAntibiotic Resistance Monitoring and Reference Laboratory, Health Protection Agency, London, United Kingdom
eNorwich Medical School, University of East Anglia, Norwich, United Kingdom
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Neil Woodford
dAntibiotic Resistance Monitoring and Reference Laboratory, Health Protection Agency, London, United Kingdom
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Timothy R. Walsh
cCardiff University, Cardiff, United Kingdom
fUniversity of Queensland, Centre for Clinical Research, Herston, Queensland, Australia
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DOI: 10.1128/AAC.06142-11
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ABSTRACT

Clinical isolates of Klebsiella pneumoniae producing NDM-1 carbapenemase from India (n = 22), the United Kingdom (n = 13), and Sweden (n = 4) were subjected to multilocus sequence typing (MLST), automated repetitive sequence-based PCR (rep-PCR), serotyping, virulence gene screening, and plasmid replicon typing. The most frequently detected MLST sequence types (STs) were ST14 (n = 13; all serotype K2), ST11, ST149, ST231, and ST147. The correlation between MLST and automated rep-PCR was excellent. IncA/C was the most frequently detected plasmid replicon type (n = 14). ST14, ST11, and other successful clones may be important for the dissemination of blaNDM-1.

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Diverse Sequence Types of Klebsiella pneumoniae Contribute to the Dissemination of blaNDM-1 in India, Sweden, and the United Kingdom
Christian G. Giske, Inga Fröding, Chowdhury Mehedi Hasan, Agata Turlej-Rogacka, Mark Toleman, David Livermore, Neil Woodford, Timothy R. Walsh
Antimicrobial Agents and Chemotherapy Apr 2012, 56 (5) 2735-2738; DOI: 10.1128/AAC.06142-11

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Diverse Sequence Types of Klebsiella pneumoniae Contribute to the Dissemination of blaNDM-1 in India, Sweden, and the United Kingdom
Christian G. Giske, Inga Fröding, Chowdhury Mehedi Hasan, Agata Turlej-Rogacka, Mark Toleman, David Livermore, Neil Woodford, Timothy R. Walsh
Antimicrobial Agents and Chemotherapy Apr 2012, 56 (5) 2735-2738; DOI: 10.1128/AAC.06142-11
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