Rapid spread of OXA-244-producing Escherichia coli ST38 in Germany: insights from an integrated molecular surveillance approach; 2017 to January 2020-Reference-Cited by-同舟云学术

Rapid spread of OXA-244-producing Escherichia coli ST38 in Germany: insights from an integrated molecular surveillance approach; 2017 to January 2020

Published:2020-06-25 Issue:25 Volume:25 Page:
ISSN:1560-7917
Container-title:Eurosurveillance
language:en
Short-container-title:

Author:

Kremer Katrin¹²³,Kramer Rolf¹³,Neumann Bernd⁴^ORCID,Haller Sebastian³^ORCID,Pfennigwerth Niels⁵,Werner Guido⁴,Gatermann Sören⁵,Schroten Horst⁶,Eckmanns Tim³,Hans Jörg B⁵

Affiliation:

1. These authors contributed equally to this manuscript

2. Postgraduate Training for Applied Epidemiology (PAE), Robert Koch-Institute, Berlin, Germany

3. Robert Koch-Institute, Department for Infectious Disease Epidemiology, Berlin, Germany

4. Robert Koch Institute, Division of Nosocomial Pathogens and Antibiotic Resistance, Wernigerode, Germany

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

6. Department of Pediatrics, Pediatric Infectious Diseases, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

Abstract

Annually, increasing numbers of OXA-244-producing Escherichia coli in 13 German federal states prompted us to initiate an outbreak investigation. Whole genome sequencing revealed that among 148 isolates analysed, most belonged to sequence type 38 with 62 isolates forming a genetically distinct cluster. Although no epidemiological link could be identified between cases, ongoing investigations suggest non-healthcare associated transmission. A screening-PCR was developed facilitating early detection of ST38 cluster isolates to identify the source and transmission route.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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