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一种镶嵌抗性(OXA-48)和毒力(气杆菌素)质粒在欧洲的跨境传播:欧洲抗菌药物耐药基因监测网络调查,欧洲,2019年2月至2024年10月

Cross-border spread of a mosaic resistance (OXA-48) and virulence (aerobactin) plasmid in : a European Antimicrobial Resistance Genes Surveillance Network investigation, Europe, February 2019 to October 2024.

作者信息

Linkevicius Marius, Alm Erik, Roer Louise, Svartström Olov, Dada-Olorunwa Maria, Räisänen Kati, Reichert Felix, Möller Sophie, Clarke Christina, Cormican Martin, Niedre-Otomere Baiba, Vangravs Reinis, Greičius Paulius, Burduniuc Olga, Anton Maria, Hendrickx Antoni P A, Witteveen Sandra, Müller Vilhelm, Palm Daniel, Plachouras Diamantis, Monnet Dominique L, Hasman Henrik, Kohlenberg Anke

机构信息

European Centre for Disease Prevention and Control, Stockholm, Sweden.

European Society for Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Mobile Elements and Plasmids (ESGMAP), Basel, Switzerland.

出版信息

Euro Surveill. 2025 Jul;30(27). doi: 10.2807/1560-7917.ES.2025.30.27.2500439.

DOI:10.2807/1560-7917.ES.2025.30.27.2500439
PMID:
40642770
Abstract

An investigation of the European Antimicrobial Resistance Genes Surveillance Network (EURGen-Net) detected the same mosaic IncHI1B(pNDM-MAR) resistance (OXA-48) and virulence (aerobactin) plasmid in 492 isolates from eight European Union countries during 2019-2024. Involvement of various sequence types (STs), multiple introductions, followed by large clonal outbreaks of three STs (ST147, ST392, ST45) carrying the plasmid in two countries indicate a high risk for further spread of this plasmid and a potential for difficult-to-treat infections to rise.

摘要

欧洲抗菌药物耐药基因监测网络(EURGen-Net)的一项调查发现,在2019年至2024年期间,来自八个欧盟国家的492株分离菌中存在相同的嵌合IncHI1B(pNDM-MAR)耐药(OXA-48)和毒力(气杆菌素)质粒。多种序列类型(STs)的参与、多次引入,随后在两个国家出现携带该质粒的三种STs(ST147、ST392、ST45)的大规模克隆暴发,表明该质粒进一步传播的风险很高,并且难治性感染有增加的可能性。

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本文引用的文献

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mSystems. 2025 Apr 22;10(4):e0167524. doi: 10.1128/msystems.01675-24. Epub 2025 Mar 25.
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Rapidly spreading with OXA-48-like carbapenemases.携带OXA-48样碳青霉烯酶快速传播。
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High frequency of acquired virulence factors in carbapenemase-producing isolates from a large German university hospital, 2013-2021.
2013-2021 年,德国一大学附属医院产碳青霉烯酶分离株获得性毒力因子的高频率。
Antimicrob Agents Chemother. 2024 Nov 6;68(11):e0060224. doi: 10.1128/aac.00602-24. Epub 2024 Oct 4.
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Deciphering the relative importance of genetic elements in hypervirulent Klebsiella pneumoniae to guide countermeasure development.解析超毒力肺炎克雷伯菌中遗传元件的相对重要性,以指导对策的制定。
EBioMedicine. 2024 Sep;107:105302. doi: 10.1016/j.ebiom.2024.105302. Epub 2024 Aug 22.
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Emergence of OXA-48-producing in Lithuania, 2023: a multi-cluster, multi-hospital outbreak.2023 年立陶宛产 OXA-48 的出现:一次多集群、多医院暴发事件。
Euro Surveill. 2024 Apr;29(16). doi: 10.2807/1560-7917.ES.2024.29.16.2400188.
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