Extensively drug-resistant Klebsiella pneumoniae ST307 outbreak, north-eastern Germany, June to October 2019

被引:47
作者
Haller, Sebastian [1 ]
Kramer, Rolf [1 ]
Becker, Karsten [5 ]
Bohnert, Juergen A. [5 ]
Eckmanns, Tim [1 ]
Hans, Joerg B. [6 ]
Hecht, Jane [1 ]
Heidecke, Claus-Dieter [5 ]
Huebner, Nils-Olaf [5 ]
Kramer, Axel [5 ]
Klaper, Kathleen [2 ]
Littmann, Martina [4 ]
Marlinghaus, Lennart [6 ]
Neumann, Bernd [2 ]
Pfeifer, Yvonne [2 ]
Pfennigwerth, Niels [6 ]
Rogge, Simone [4 ]
Schaufler, Katharina [7 ]
Thuermer, Andrea [3 ]
Werner, Guido [2 ]
Gatermann, Soeren [6 ]
机构
[1] Robert Koch Inst, Dept Infect Dis Epidemiol, Berlin, Germany
[2] Robert Koch Inst, Div Nosocomial Pathogens & Antibiot Resistance, Wernigerode, Germany
[3] Robert Koch Inst, Genome Sequencing Unit, Berlin, Germany
[4] Reg Publ Hlth Author Mecklenburg Western Pomerani, Rostock, Germany
[5] Univ Med Greifswald, Greifswald, Germany
[6] Ruhr Univ Bochum, Natl Reference Ctr Multidrug Resistant Gram Negat, Bochum, Germany
[7] Ernst Moritz Arndt Univ Greifswald, Inst Pharm, Greifswald, Germany
来源
EUROSURVEILLANCE | 2019年 / 24卷 / 50期
关键词
EMERGENCE;
D O I
10.2807/1560-7917.ES.2019.24.50.1900734
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
From June to October 2019, 17 patients (six infected, 11 colonised) with an extensively drug-resistant (XDR) Klebsiella pneumoniae strain were notified from four Western Pomerania medical facilities. The XDR K. pneumoniae produced carbapenemases NDM-1 and OXA-48, and was only susceptible to chloramphenicol, tigecycline and cefiderocol. Synergistic activity was observed for the combination of aztreonam plus ceftazidime-avibactam. Genomic analyses showed all isolates belonged to K. pneumoniae sequence type 307. Control measures and further investigations are ongoing.
引用
收藏
页码:2 / 7
页数:6
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