Increase in NDM-1 and NDM-1/OXA-48-producing Klebsiella pneumoniae in Germany associated with the war in Ukraine, 2022

Author:

Sandfort Mirco1ORCID,Hans Jörg B2,Fischer Martin A3,Reichert Felix1ORCID,Cremanns Martina2,Eisfeld Jessica2,Pfeifer Yvonne3,Heck Annika1,Eckmanns Tim1,Werner Guido3,Gatermann Sören2,Haller Sebastian1,Pfennigwerth Niels2ORCID

Affiliation:

1. Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany

2. German National Reference Centre for Multidrug-resistant Gram-negative Bacteria, Department of Medical Microbiology, Ruhr-University Bochum, Bochum, Germany

3. Department of Infectious Diseases, Robert Koch Institute, Wernigerode, Germany

Abstract

In 2022, German surveillance systems observed rapidly increasing numbers of NDM-1- and NDM-1/OXA-48-producing Klebsiella pneumoniae, which may in part reflect recurring pre-pandemic trends. Among these cases, however, a presence in Ukraine before diagnosis was frequently reported. Whole genome sequencing of 200 isolates showed a high prevalence of sequence types ST147, ST307, ST395 and ST23, including clusters corresponding to clonal dissemination and suggesting onward transmission in Germany. Screening and isolation of patients from Ukraine may help avoid onward transmission.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference20 articles.

1. Pfennigwerth N. Schauer J. Bericht des Nationalen Referenzzentrums für gramnegative Krankenhauserreger – Zeitraum 1. Januar 2021 bis 31. Dezember 2021. [Report of the National Reference Centre for Gram-negative hospital pathogens - period 1 January 2021 to 31 December 2021]. Epid Bull. 2022;19:3-9. German. Available from: http://edoc.rki.de/176904/9709

2. Phenotypic and genotypic characterization of antibiotic resistance in military hospital-associated bacteria from war injuries in the Eastern Ukraine conflict between 2014 and 2020.;Kondratiuk;J Hosp Infect,2021

3. Dietze N, Trawinski H, Schönherr SG, Lippmann N, Ranft D, Fichtner F, et al. Infektionsmedizinische und chirurgische Herausforderungen durch Carbapenem-resistente bakterielle Erreger bei der Versorgung Kriegsverletzter aus der Ukraine. [Challenges in infection medicine and surgery caused by carbapenem-resistant bacterial pathogens in the care for war casualties from Ukraine]. Epid Bull. 2022;36:3-10. German. Available from: http://edoc.rki.de/176904/10214

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