Abstract
We report blaKPC-2-harboring carbapenem-resistant Klebsiella pneumoniae in an emerging sequence type 307 lineage in a traveler returning from Puerto Rico to the Dominican Republic. Phylogenetic analyses indicate regional dissemination of this highly drug-resistant clone across the Americas, underscoring the need for adequate surveillance and infection control efforts to prevent further spread.
Keywords:
Carbapenem-resistant Enterobacteriaecae; Dominican Republic; Klebsiella pneumoniae; MDR; Puerto Rico; United States; bacteria; multidrug resistance.
Publication types
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Case Reports
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Letter
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Research Support, N.I.H., Extramural
MeSH terms
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Aged
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Anti-Bacterial Agents / pharmacology
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Anti-Bacterial Agents / therapeutic use
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Communicable Diseases, Imported / epidemiology*
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Communicable Diseases, Imported / microbiology*
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Dominican Republic / epidemiology
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Drug Resistance, Multiple, Bacterial*
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Fatal Outcome
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Female
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Humans
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Klebsiella Infections / diagnosis
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Klebsiella Infections / drug therapy
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Klebsiella Infections / epidemiology*
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Klebsiella Infections / microbiology*
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Klebsiella pneumoniae / drug effects*
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Klebsiella pneumoniae / genetics
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Microbial Sensitivity Tests
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Phylogeny
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Public Health Surveillance
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Puerto Rico / epidemiology
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Travel-Related Illness*
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Whole Genome Sequencing
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beta-Lactamases / genetics
Substances
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Anti-Bacterial Agents
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beta-Lactamases