Comparison of carbapenem-susceptible and carbapenem-resistant Enterobacterales at nine sites in the USA, 2013–2016: a resource for antimicrobial resistance investigators

Author:

Lutgring Joseph D.1ORCID,Kent Alyssa G.21,Bowers Jolene R.3,Jasso-Selles Daniel E.3,Albrecht Valerie41,Stevens Valerie A.1,Pfeiffer Ashlyn3,Barnes Riley3,Engelthaler David M.3,Johnson J. Kristie5,Gargis Amy S.1,Rasheed J. Kamile1,Limbago Brandi M.61,Elkins Christopher A.1,Karlsson Maria21,Halpin Alison L.1

Affiliation:

1. Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

2. Goldbelt C6, LLC, Chesapeake, Virginia, USA

3. Pathogen and Microbiome Division, Translational Genomics Research Institute North, Flagstaff, Arizona, USA

4. Present address: Office of the Director, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

5. Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland, USA

6. Present address: Office of Science, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Abstract

Carbapenem-resistant Enterobacterales (CRE) are an urgent public health threat. Genomic sequencing is an important tool for investigating CRE. Through the Division of Healthcare Quality Promotion Sentinel Surveillance system, we collected CRE and carbapenem-susceptible Enterobacterales (CSE) from nine clinical laboratories in the USA from 2013 to 2016 and analysed both phenotypic and genomic sequencing data for 680 isolates. We describe the molecular epidemiology and antimicrobial susceptibility testing (AST) data of this collection of isolates. We also performed a phenotype–genotype correlation for the carbapenems and evaluated the presence of virulence genes in Klebsiella pneumoniae complex isolates. These AST and genomic sequencing data can be used to compare and contrast CRE and CSE at these sites and serve as a resource for the antimicrobial resistance research community.

Funder

National Center for Emerging and Zoonotic Infectious Diseases

Publisher

Microbiology Society

Subject

General Medicine

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