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2023 年立陶宛产 OXA-48 的出现:一次多集群、多医院暴发事件。

Emergence of OXA-48-producing in Lithuania, 2023: a multi-cluster, multi-hospital outbreak.

机构信息

National Public Health Surveillance Laboratory (NVSPL), Vilnius, Lithuania.

European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.

出版信息

Euro Surveill. 2024 Apr;29(16). doi: 10.2807/1560-7917.ES.2024.29.16.2400188.

DOI:10.2807/1560-7917.ES.2024.29.16.2400188
PMID:38639094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11027475/
Abstract

In 2023, an increase of OXA-48-producing was noticed by the Lithuanian National Public Health Surveillance Laboratory. Whole genome sequencing (WGS) of 106 OXA-48-producing isolates revealed three distinct clusters of carbapenemase-producing high-risk clones, including sequence type (ST) 45 (n = 35 isolates), ST392 (n = 32) and ST395 (n = 28), involving six, six and nine hospitals in different regions, respectively. These results enabled targeted investigation and control, and underscore the value of national WGS-based surveillance for antimicrobial resistance.

摘要

2023 年,立陶宛国家公共卫生监测实验室注意到产 OXA-48 的 增加。对 106 株产 OXA-48 的 分离株进行全基因组测序(WGS)显示,产碳青霉烯酶的 高危克隆有三个不同的聚类,包括 序列型(ST)45(n = 35 株)、ST392(n = 32 株)和 ST395(n = 28 株),分别涉及不同地区的六家、六家和九家医院。这些结果使得能够进行有针对性的调查和控制,并强调了基于国家 WGS 的抗微生物药物耐药性监测的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/5fc938018f64/2400188-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/88ce5a6ea585/2400188-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/7450fbe4e7cf/2400188-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/5fc938018f64/2400188-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/88ce5a6ea585/2400188-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/7450fbe4e7cf/2400188-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/11027475/5fc938018f64/2400188-f3.jpg

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3
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全球传播和多重耐药性及高毒力高危克隆的进化趋同。
Pathog Glob Health. 2023 Jun;117(4):328-341. doi: 10.1080/20477724.2022.2121362. Epub 2022 Sep 11.
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