2016
DOI: 10.1093/gbe/evw135
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Whole-Genome Comparative Analysis of Two Carbapenem-Resistant ST-258Klebsiella pneumoniaeStrains Isolated during a North-Eastern Ohio Outbreak: Differences within the High Heterogeneity Zones

Abstract: Klebsiella pneumoniae has become one of the most dangerous causative agents of hospital infections due to the acquisition of resistance to carbapenems, one of the last resort families of antibiotics. Resistance is usually mediated by carbapenemases coded for by different classes of genes. A prolonged outbreak of carbapenem-resistant K. pneumoniae infections has been recently described in northeastern Ohio. Most strains isolated from patients during this outbreak belong to MLST sequence type 258 (ST258). To und… Show more

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Cited by 29 publications
(11 citation statements)
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“…Klebsiella pneumoniae , although usually carried by healthy humans, is also the causative agent of community- and, more commonly, hospital-acquired infections, accounting for more than 30% of those caused by Gram-negative bacteria (Kalpoe et al, 2012; Shon et al, 2013; Li et al, 2014; Calfee, 2017; Navon-Venezia et al, 2017). K. pneumoniae became more dangerous in recent years due to the acquisition of multidrug resistance (Almaghrabi et al, 2014; Chen et al, 2014a; Ramirez et al, 2016; Rojas et al, 2017b) and the emergence of hypervirulent variants (Decre et al, 2011; Kalpoe et al, 2012; Shon et al, 2013). The most common diseases in Western countries, caused by classic (non-hypervirulent) strains, are urinary tract infections, pneumonia, septicemias, meningitis, and soft tissue infections (Shon et al, 2013; Ramirez et al, 2016; Calfee, 2017; Martel et al, 2017; Gupta et al, 2018; Osman et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…Klebsiella pneumoniae , although usually carried by healthy humans, is also the causative agent of community- and, more commonly, hospital-acquired infections, accounting for more than 30% of those caused by Gram-negative bacteria (Kalpoe et al, 2012; Shon et al, 2013; Li et al, 2014; Calfee, 2017; Navon-Venezia et al, 2017). K. pneumoniae became more dangerous in recent years due to the acquisition of multidrug resistance (Almaghrabi et al, 2014; Chen et al, 2014a; Ramirez et al, 2016; Rojas et al, 2017b) and the emergence of hypervirulent variants (Decre et al, 2011; Kalpoe et al, 2012; Shon et al, 2013). The most common diseases in Western countries, caused by classic (non-hypervirulent) strains, are urinary tract infections, pneumonia, septicemias, meningitis, and soft tissue infections (Shon et al, 2013; Ramirez et al, 2016; Calfee, 2017; Martel et al, 2017; Gupta et al, 2018; Osman et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…This facilitated the discovery of the first opsin-expressing cells in urchins, brittle stars and sea stars, using antibodies subsequently raised against Sp-Op targets [16,26,30], as well as many more opsin sequences in other echinoderms [25,26,31]. Brittle stars, like other echinoderms, possess both rhabdomeric (r-) and ciliary (c-) visual opsins as well as multiple non-visual classes [25,26,32], but exhibit multiple duplications of the rhabdomeric class (closest to Sp-Op4) [26]. These are considered non-visual in most deuterostomes, but are strongly implicated in visual behaviour in both urchins and sea stars [16,33], and sequencing of arm transcriptomes in two brittle stars demonstrated detectable levels of expression of r-opsins similar to Sp-Op4, but not c-opsins, though these were detected at low levels by immunolabelling against Sp-Op1 [25].…”
Section: Introductionmentioning
confidence: 99%
“…Far less is known about the expression and function of neuropsin genes relative to r-opsins , particularly outside of the vertebrate lineage [16]. Two of the C. teleta neuropsin genes, Ct-n-opsin2 and Ct-n-opsin3 , are expressed in a small subset of cells in the brain region.…”
Section: Discussionmentioning
confidence: 99%
“…The cerebral eyes in larval and adult polychaetes typically have rhabdomeric photoreceptor cells, although there are exceptions [3,4,15]. In the last common ancestor of bilaterians, nine classes of opsin genes were thought to have been present [16]. The genome of C. teleta contains nine opsin genes that belong to only two opsin classes: three rhabdomeric opsin ( r-opsin) and six neuropsin genes [16,17].…”
Section: Introductionmentioning
confidence: 99%
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