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Molecular and clinical characteristics of carbapenem-resistant Enterobacteriaceae isolates collected at a tertiary hospital in northern China.

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BACKGROUND Carbapenem-resistant Enterobacteriaceae (CRE) represent a severe public health problem. METHODS In a tertiary hospital in northern China, 169 non-duplicated clinical CRE strains were analyzed by species identification, in vitro… Click to show full abstract

BACKGROUND Carbapenem-resistant Enterobacteriaceae (CRE) represent a severe public health problem. METHODS In a tertiary hospital in northern China, 169 non-duplicated clinical CRE strains were analyzed by species identification, in vitro antibiotics sensitivity test, carbapenemase gene detection and genetic sequence typing. RESULTS The CRE strains showed high resistance to most clinical antimicrobials. Enterobacter cloacae and Escherichia coli isolates mainly carried blaNDM, and Klebsiella pneumoniae isolates mainly carried blakpc. ST11 was the most common type in Klebsiella pneumoniae, and ST70 was the new emerging sequence type (ST) in Enterobacter cloacae. CONCLUSIONS The CRE strains isolated in northern China showed multidrug-resistant phenotypes, and the new emergence of ST70 Enterobacter cloacae should be closely supervised.

Keywords: northern china; tertiary hospital; carbapenem resistant; hospital northern; resistant enterobacteriaceae

Journal Title: Transactions of the Royal Society of Tropical Medicine and Hygiene
Year Published: 2022

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