Rapid cross-border emergence of NDM-5-producing Escherichia coli in the European Union/European Economic Area, 2012 to June 2022

Author:

Linkevicius Marius1,Bonnin Rémy A2,Alm Erik1,Svartström Olov1,Apfalter Petra3,Hartl Rainer3,Hasman Henrik4,Roer Louise4,Räisänen Kati5,Dortet Laurent2,Pfennigwerth Niels6,Hans Jörg B6,Tóth Ákos7,Buzgó Lilla7,Cormican Martin8,Delappe Niall8,Monaco Monica9,Giufrè Maria9,Hendrickx Antoni PA10,Samuelsen Ørjan1112,Pöntinen Anna K1312,Caniça Manuela14,Manageiro Vera14,Oteo-Iglesias Jesús15,Pérez-Vázquez María15,Westmo Karin16,Mäkitalo Barbro16,Palm Daniel1,Monnet Dominique L1,Kohlenberg Anke1

Affiliation:

1. European Centre for Disease Prevention and Control, Stockholm, Sweden

2. French National Reference Center for Antimicrobial Resistance, INSERM UMR 1184, Paris-Saclay University, Bicêtre Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France

3. Austrian National Reference Centre for Antimicrobial Resistance, Ordensklinikum Linz Elisabethinen, Linz, Austria

4. Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark

5. Department of Health Security, Finnish Institute for Health and Welfare, Helsinki, Finland

6. National Reference Centre for multidrug-resistant Gram-negative bacteria, Ruhr University Bochum, Bochum, Germany

7. National Public Health Centre, Budapest, Hungary

8. University of Galway, Galway, Ireland

9. Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy

10. Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment, Bilthoven, the Netherlands

11. Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway

12. Norwegian National Advisory Unit on Detection of Antimicrobial Resistance, University Hospital of North Norway, Tromsø, Norway

13. Department of Biostatistics, Faculty of Medicine, University of Oslo, Oslo, Norway

14. National Reference Laboratory of Antibiotic Resistances and Healthcare Associated Infections, Department of Infectious Diseases, National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal

15. Laboratorio de Referencia e Investigación en Resistencia a Antibióticos del Centro Nacional de Microbiología and CIBERINFEC, Instituto de Salud Carlos III, Madrid, Spain

16. Public Health Agency of Sweden, Stockholm, Sweden

Abstract

Whole genome sequencing data of 874 Escherichia coli isolates carrying bla NDM-5 from 13 European Union/European Economic Area countries between 2012 and June 2022 showed the predominance of sequence types ST167, ST405, ST410, ST361 and ST648, and an increasing frequency of detection. Nearly a third (30.6%) of these isolates were associated with infections and more than half (58.2%) were predicted to be multidrug-resistant. Further spread of E. coli carrying bla NDM-5 would leave limited treatment options for serious E. coli infections.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference20 articles.

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