Background OXA-232-producing Klebsiella pneumoniae was first identified in China in 2016,and its clonal transmission was reported in 2019.However,there are no prevalence and genotypic surveillance data available for O...Background OXA-232-producing Klebsiella pneumoniae was first identified in China in 2016,and its clonal transmission was reported in 2019.However,there are no prevalence and genotypic surveillance data available for OXA-232 in China.Therefore,we investigated the trends and characteristics of OXA-232 type carbapenemase in Zhejiang Province,China from 2018 to 2021.Methods A total of 3278 samples from 1666 patients in the intensive care units were collected from hospitals in Zhejiang Province from 2018 to 2021.Carbapenem-resistant isolates were initially selected by China Blue agar plates supplemented with 0.3μg/ml meropenem,and further analyzed by matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry identification,immune colloidal gold technique,conjugation experiment,antimicrobial susceptibility testing and whole genome sequencing.Results A total of 79 OXA-producing strains were recovered,with the prevalence increased from 1.8%[95%confidence interval(CI):0.7–3.7%]in 2018 to 6.0%(95%CI:4.4–7.9%)in 2021.Seventy-eight strains produced OXA-232 and one produced OXA-181.The blaOXA-232 gene in all strains was located in a 6141-bp ColKP3-type non-conjugative plasmid and the blaOXA-181 gene was located in a 51,391-bp ColKP3/IncX3-type non-conjugative plasmid.The blaOXA-232-producing K.pneumoniae was dominated(75/76)by isolates of sequence type 15(ST15)that differed by less than 80 SNPs.All OXA-producing strains(100%,95%CI:95.4–100.0%)were multidrug-resistant.Conclusions From 2018 to 2021,OXA-232 is the most prevalent OXA-48-like derivative in Zhejiang Province,and ST15 K.pneumoniae isolates belonging to the same clone are the major carriers.The transmission of ColKP3-type plasmid to E.coli highlighted that understanding the transmission mechanism is of great importance to delay or arrest the propagation of OXA-232 to other species.展开更多
文摘Background OXA-232-producing Klebsiella pneumoniae was first identified in China in 2016,and its clonal transmission was reported in 2019.However,there are no prevalence and genotypic surveillance data available for OXA-232 in China.Therefore,we investigated the trends and characteristics of OXA-232 type carbapenemase in Zhejiang Province,China from 2018 to 2021.Methods A total of 3278 samples from 1666 patients in the intensive care units were collected from hospitals in Zhejiang Province from 2018 to 2021.Carbapenem-resistant isolates were initially selected by China Blue agar plates supplemented with 0.3μg/ml meropenem,and further analyzed by matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry identification,immune colloidal gold technique,conjugation experiment,antimicrobial susceptibility testing and whole genome sequencing.Results A total of 79 OXA-producing strains were recovered,with the prevalence increased from 1.8%[95%confidence interval(CI):0.7–3.7%]in 2018 to 6.0%(95%CI:4.4–7.9%)in 2021.Seventy-eight strains produced OXA-232 and one produced OXA-181.The blaOXA-232 gene in all strains was located in a 6141-bp ColKP3-type non-conjugative plasmid and the blaOXA-181 gene was located in a 51,391-bp ColKP3/IncX3-type non-conjugative plasmid.The blaOXA-232-producing K.pneumoniae was dominated(75/76)by isolates of sequence type 15(ST15)that differed by less than 80 SNPs.All OXA-producing strains(100%,95%CI:95.4–100.0%)were multidrug-resistant.Conclusions From 2018 to 2021,OXA-232 is the most prevalent OXA-48-like derivative in Zhejiang Province,and ST15 K.pneumoniae isolates belonging to the same clone are the major carriers.The transmission of ColKP3-type plasmid to E.coli highlighted that understanding the transmission mechanism is of great importance to delay or arrest the propagation of OXA-232 to other species.
