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Future Microbiol ; 12: 967-974, 2017 09.
Article in English | MEDLINE | ID: mdl-28795847

ABSTRACT

AIM: We report the first outbreak caused by Klebsiella pneumoniae carbapenemase (KPC)-producing K. pneumoniae sequence type 258 (ST 258) clone that occurred in Croatia from May to December 2012. MATERIALS & METHODS: 23 carbapenem-resistant K. pneumoniae isolates were recovered from clinical and screening specimens of 12 patients hospitalized in a regional hospital. The first isolates from the 12 patients were typed using pulsed-field gel electrophoresis and multilocus sequence typing. RESULTS: PCR detection showed that all isolates harbored the bla KPC-2 gene, together with bla TEM-116 and bla SHV-11. CONCLUSION: The rapid detection of KPC-producing K. pneumoniae and vigorous implementation of infection control measures were necessary to successfully control the outbreak.


Subject(s)
Disease Outbreaks , Klebsiella Infections/epidemiology , Klebsiella pneumoniae/enzymology , Klebsiella pneumoniae/genetics , beta-Lactamases/genetics , beta-Lactamases/isolation & purification , Bacterial Proteins/genetics , Bacterial Proteins/isolation & purification , Bacterial Typing Techniques , Carbapenems/pharmacology , Croatia/epidemiology , DNA, Bacterial , Drug Resistance, Bacterial , Electrophoresis, Gel, Pulsed-Field , Genes, Bacterial/genetics , Hospitals , Humans , Klebsiella Infections/diagnosis , Klebsiella pneumoniae/isolation & purification , Klebsiella pneumoniae/pathogenicity , Microbial Sensitivity Tests , Molecular Epidemiology , Multilocus Sequence Typing , Polymerase Chain Reaction , beta-Lactam Resistance/genetics
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