Multidrug-resistant hypervirulent Klebsiella pneumoniae: an evolving superbug

被引:1
作者
Zheng, Yu [1 ]
Zhu, Xiaojue [1 ]
Ding, Chao [1 ]
Chu, Weiqiang [1 ]
Pang, Xiaoxiao [1 ]
Zhang, Ruxia [1 ]
Ma, Jiucheng [2 ]
Xu, Guoxin [1 ]
机构
[1] Soochow Univ, Affiliated Zhangjiagang Hosp, Dept Clin Lab, 68 Jiyang West Rd, Suzhou, Jiangsu, Peoples R China
[2] Soochow Univ, Affiliated Zhangjiagang Hosp, Dept Burns & Plast Surg, Suzhou, Peoples R China
关键词
Klebsiella pneumoniae; virulence factor; multidrug resistance; horizontal gene transfer; diagnostic microbiology; CARBAPENEM-RESISTANCE; MOLECULAR EPIDEMIOLOGY; BIOFILM FORMATION; VIRULENCE; AEROBACTIN; EMERGENCE; ENTEROBACTERALES; SALMOCHELIN; INFECTIONS; MECHANISMS;
D O I
10.1080/17460913.2025.2482478
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Multidrug-resistant hypervirulent Klebsiella pneumoniae (MDR-hvKP) combines high pathogenicity with multidrug resistance to become a new superbug. MDR-hvKP reports continue to emerge, shattering the perception that hypervirulent K. pneumoniae (hvKP) strains are antibiotic sensitive. Patients infected with MDR-hvKP strains have been reported in Asia, particularly China. Although hvKP can acquire drug resistance genes, MDR-hvKP seems to be more easily transformed from classical K. pneumoniae (cKP), which has a strong gene uptake ability. To better understand the biology of MDR-hvKP, this review discusses the virulence factors, resistance mechanisms, formation pathways, and identification of MDR-hvKP. Given their destructive and transmissible potential, continued surveillance of these organisms and enhanced control measures should be prioritized.
引用
收藏
页码:499 / 511
页数:13
相关论文
共 50 条
[21]   A Case of Multidrug-Resistant Klebsiella pneumoniae Treated with Carrimycin [J].
Zhu, Wenjun ;
Tian, Yaping ;
Xiang, Lin ;
Cao, Linna ;
He, Lirong .
INFECTION AND DRUG RESISTANCE, 2023, 16 :2365-2369
[22]   Extensive Pneumocephalus Caused by Multidrug-Resistant Klebsiella pneumoniae [J].
Hasan, Md. Jahidul ;
Rabbani, Raihan .
WORLD NEUROSURGERY, 2020, 137 :29-30
[23]   Pneumocephalus as a complication of multidrug-resistant Klebsiella pneumoniae meningitis [J].
Sreejith, P. ;
Vishad, V. ;
Pappachan, Joseph M. ;
Laly, D. C. ;
Jayaprakash, R. ;
Ranjith, V. T. .
EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2008, 19 (02) :140-142
[24]   Promising treatments for refractory pneumonia caused by multidrug-resistant Klebsiella pneumoniae [J].
Li, Ziling ;
Hu, Jiannan ;
Ma, Xinyue ;
Liu, Qian ;
Bao, Chen ;
Liu, Chao ;
Wang, Decai ;
Xu, Shuyun .
JOURNAL OF DRUG DELIVERY SCIENCE AND TECHNOLOGY, 2023, 87
[25]   Evolution and Epidemiology of Multidrug-Resistant Klebsiella pneumoniae in the United Kingdom and Ireland [J].
Moradigaravand, Danesh ;
Martin, Veronique ;
Peacock, Sharon J. ;
Parkhill, Julian .
MBIO, 2017, 8 (01)
[26]   Isolation and Characterization of a Novel Phage for Controlling Multidrug-Resistant Klebsiella pneumoniae [J].
Peng, Qin ;
Fang, Meng ;
Liu, Xushan ;
Zhang, Chunling ;
Liu, Yue ;
Yuan, Yihui .
MICROORGANISMS, 2020, 8 (04)
[27]   Virulence factors in carbapenem-resistant hypervirulent Klebsiella pneumoniae [J].
Mendes, Gabriel ;
Santos, Maria Leonor ;
Ramalho, Joao F. ;
Duarte, Aida ;
Caneiras, Catia .
FRONTIERS IN MICROBIOLOGY, 2023, 14
[28]   Acquisition of a novel conjugative multidrug-resistant hypervirulent plasmid leads to hypervirulence in clinical carbapenem-resistant Klebsiella pneumoniae strains [J].
Li, Gong ;
Jia, Ling ;
Wan, Lei ;
Xia, Lijuan ;
Gao, Ang ;
Yang, Runshi ;
Sun, Ruanyang ;
Wang, Minge ;
Du, Juan ;
Lian, Xinlei ;
Zhang, Rongmin ;
Fang, Liangxing ;
Liao, Xiaoping ;
Liu, Yahong ;
Liu, Bao-Tao ;
Sun, Jian .
MLIFE, 2023, 2 (03) :317-327
[29]   Multidrug-Resistant Escherichia coli and Klebsiella pneumoniae Isolated From Patients in Kashan, Iran [J].
Moini, Atieh Sadat ;
Soltani, Babak ;
Ardakani, Abbas Taghavi ;
Moravveji, Alireza ;
Erami, Mahzad ;
Rezaei, Mostafa Haji ;
Namazi, Mansoor .
JUNDISHAPUR JOURNAL OF MICROBIOLOGY, 2015, 8 (10)
[30]   High Prevalence of Multidrug-Resistant Klebsiella pneumoniae Harboring Several Virulence and β-Lactamase Encoding Genes in a Brazilian Intensive Care Unit [J].
Ferreira, Roumayne L. ;
da Silva, Brenda C. M. ;
Rezende, Graziela S. ;
Nakamura-Silva, Rafael ;
Pitondo-Silva, Andre ;
Campanini, Emeline Boni ;
Brito, Marcia C. A. ;
da Silva, Eulalia M. L. ;
de Melo Freire, Caio Cesar ;
da Cunha, Anderson F. ;
da Silva Pranchevicius, Maria-Cristina .
FRONTIERS IN MICROBIOLOGY, 2019, 9