Emergence and rapid global dissemination of CTX-M-15-associated Klebsiella pneumoniae strain ST307.
Wyres, Kelly L;
Hawkey, Jane;
Hetland, Marit AK;
Fostervold, Aasmund;
Wick, Ryan R;
Judd, Louise M;
Hamidian, Mohammad;
Howden, Benjamin P;
Löhr, Iren H;
Holt, Kathryn E;
(2018)
Emergence and rapid global dissemination of CTX-M-15-associated Klebsiella pneumoniae strain ST307.
The Journal of antimicrobial chemotherapy, 74 (3).
pp. 577-581.
ISSN 0305-7453
DOI: https://doi.org/10.1093/jac/dky492
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OBJECTIVES: Recent reports indicate the emergence of a new carbapenemase-producing Klebsiella pneumoniae clone, ST307. We sought to better understand the global epidemiology and evolution of this clone and evaluate its association with antimicrobial resistance (AMR) genes. METHODS: We collated information from the literature and public databases and performed a comparative analysis of 95 ST307 genomes (including 37 that were newly sequenced). RESULTS: We show that ST307 emerged in the mid-1990s (nearly 20 years prior to its first report), is already globally distributed and is intimately associated with a conserved plasmid harbouring the blaCTX-M-15 ESBL gene and several other AMR determinants. CONCLUSIONS: Our findings support the need for enhanced surveillance of this widespread ESBL clone in which carbapenem resistance has occasionally emerged.