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Epidemiological characteristics and molecular features of carbapenem-resistant Enterobacter strains in China: A multicenter genomic study

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机构: [1]Department of Clinical Laboratory, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. [2]Department of Laboratory Medicine, Sichuan Provincial People's Hospital, Chengdu, Sichuan, China. [3]Center of Medical Laboratory, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China. [4]Department of Laboratory Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. [5]Department of Laboratory Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China. [6]Laboratory Medicine Center, Aviation General Hospital, Beijing, China. [7]Department of Laboratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. [8]Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. [9]Department of Medical Affairs, Danaher Diagnostic Platform/Cepheid (China), New York, NY, USA. [10]Center for Discovery and Innovation, Hackensack-Meridian Health, Nutley, NJ 07110, USA. [11]Hackensack Meridian School of Medicine at Seton Hall University, Nutley, NJ 07110, USA.
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关键词: Enterobacter blaNDM IncX3 ST171 ST116 carbapenemase

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Epidemiological characteristics and molecular features of carbapenem-resistant Enterobacter (CR-Ent) species remain unclear in China. In this study, we performed a genomic study on 92 isolates from Enterobacter-caused infections from a multicenter study in China. Whole genome sequencing (WGS) was used to determine the genome sequence of 92 non-duplicated CR-Ent strains collected from multiple tertiary health centers. The precise species of Enterobacter strains were identified by average nucleotide identity (ANI) and in silico DNA-DNA hybridization (isDDH). Molecular features of high-risk CR-Ent sequence type (ST) lineages and carbapenemase-encoding plasmids were determined. The result revealed that the most common human-source CR-Ent species in China was E. xiangfangensis (66/92, 71.93%), and the proportion of carbapenemase-producing Enterobacter (CP-Ent) in CR-Ent was high (72/92, 78.26%) in comparison to other global regions. Furthermore, ST171 and ST116 E. xiangfangensis were the major lineages of CP-Ent strains, and ST171 E. xiangfangensis was more likely to cause infections in older patients. Genomic analysis also highlighted the likelihood of intra-hospital/inter-hospital clonal transmission of ST171 and ST116 E. xiangfangensis. In addition, the blaNDM-harboring IncX3-type plasmid was identified as the prevalent carbapenemase-encoding plasmid carried by CR-Ent strains, and was experimentally confirmed to be able to self-transfer with high frequency. This study detailed the genomic and clinical characteristics of CR-Ent in China in the form of multicenter for the first time. The high risk of carbapenemase-producing ST171 and ST116 E. xiangfangensis, and the blaNDM-harboring IncX3-type plasmid were detected and emphasized.

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大类 | 2 区 医学
小类 | 1 区 传染病学 2 区 免疫学 2 区 微生物学
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出版当年[2023]版:
Q1 IMMUNOLOGY Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY
最新[2023]版:
Q1 IMMUNOLOGY Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Department of Clinical Laboratory, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
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通讯机构: [1]Department of Clinical Laboratory, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. [*1]Department of Clinical Laboratory, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215004, China
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