Background
Klebsiella michiganensis
is an emerging human pathogen that causes nosocomial infections. Its prevalence and spread in the environment should not be ignored. This study identified and characterized
Klebsiella michiganensis
co-harboring
bla
KPC-2
and
TmexCD2-ToprJ2
in hospital wastewater samples.
Methods
Twelve
K. michiganensis
strains were isolated from wastewater samples collected at a tertiary hospital in Beijing, China. The genomic characteristics of
K. michiganensis
strains were analyzed using whole-genome sequences, providing information on the comparison between the genome of
K. michiganensis
strains and the reference genome, antibiotic resistance genes (ARGs), virulence genes, secretion systems, and mobile genetic elements (plasmids, insertion sequences [ISs], and prophages).
Results
Genome analysis showed that the twelve multi-drug resistant (MDR) strains carried a variety of ARGs and virulence genes, as well as four macromolecular secretion systems (T1SS, T2SS, T5aSS, T5bSS, and T4aP). The genetic environments of both the
TmexCD2-ToprJ2
gene cluster and
bla
KPC-2
gene contained ISs. The plasmids carrying
TmexCD2-ToprJ2
gene cluster of nine strains in clade 1 and two strains in clade 2 were annotated as IncR plasmid and rep_cluster_1254 type, respectively. The plasmids carrying
bla
KPC-2
in 10 strains in clade 1 were identified as IncU, and the plasmids carrying
bla
KPC-2
in the k11 and k12 strains in clade 2 were IncU and IncX6. The phylogenetic tree and heatmap revealed that the secretion system of type VI (T6SSi) existed in 10 strains in clade 1, and Type IV (T4SS) only existed in the k11 strain in clade 2. In addition,
K. michiganensis
strains carried 13 plasmids, 14 ISs, and 138 prophages.
Conclusion
In this study, the whole genome sequencing demonstrated the diversity of
K. michiganensis
genome despite 12
K. michiganensis
strains from a hospital wastewater, which lays the foundation for further genetic research and drug resistance gene transmission.