Genomic Epidemiology of Complex, Multispecies, Plasmid-Borne bla KPC Carbapenemase in Enterobacterales in the United Kingdom from 2009 to 2014

Author:

Stoesser Nicole12ORCID,Phan Hang T. T.23,Seale Anna C.14,Aiken Zoie5,Thomas Stephanie5,Smith Matthew5,Wyllie David1ORCID,George Ryan5,Sebra Robert6,Mathers Amy J.78,Vaughan Alison1,Peto Timothy E. A.129,Ellington Matthew J.10,Hopkins Katie L.10,Crook Derrick W.129,Orlek Alex12,Welfare William11,Cawthorne Julie5,Lenney Cheryl5,Dodgson Andrew512,Woodford Neil10,Walker A. Sarah129,

Affiliation:

1. Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom

2. NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, University of Oxford, Oxford, United Kingdom

3. Faculty of Medicine, University of Southampton, Southampton, United Kingdom

4. Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom

5. Manchester University NHS Foundation Trust, Manchester, United Kingdom

6. Icahn Institute and Department of Genetics and Genomic Sciences, Icahn School of Medicine, Mount Sinai, New York, USA

7. Division of Infectious Diseases and International Health, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA

8. Clinical Microbiology Laboratory, Department of Pathology, University of Virginia Health System, Charlottesville, Virginia, USA

9. NIHR Biomedical Research Centre, University of Oxford, Oxford, United Kingdom

10. Antimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, United Kingdom

11. Public Health England North West, Manchester, United Kingdom

12. Public Health Laboratory, Public Heath England, Manchester, United Kingdom

Abstract

Carbapenem resistance in Enterobacterales is a public health threat. Klebsiella pneumoniae carbapenemase (encoded by alleles of the bla KPC family) is one of the most common transmissible carbapenem resistance mechanisms worldwide. The dissemination of bla KPC historically has been associated with distinct K. pneumoniae lineages (clonal group 258 [CG258]), a particular plasmid family (pKpQIL), and a composite transposon (Tn 4401 ).

Funder

Public Health England

National Institute for Health Research

NIHR | NIHR Oxford Biomedical Research Centre

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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