Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients

Objectives: Greece is endemic for KPC-encoding Klebsiella pneumoniae; however, until now, reports have referred only to hospital isolates. In this study, seven KPC-encoding K. pneumoniae isolated in private laboratories from non-hospitalised patients were characterised. Methods: Whole-genome sequenc...

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Main Authors: Georgios Meletis, Fani Chatzopoulou, Aikaterini Fragkouli, Magdalini Alexandridou, Ilias Mavrovouniotis, Anastasia Chatzinikolaou, Dimitrios Chatzidimitriou
Format: Article
Language:English
Published: Elsevier 2020-03-01
Series:Journal of Global Antimicrobial Resistance
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213716519301936
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author Georgios Meletis
Fani Chatzopoulou
Aikaterini Fragkouli
Magdalini Alexandridou
Ilias Mavrovouniotis
Anastasia Chatzinikolaou
Dimitrios Chatzidimitriou
author_facet Georgios Meletis
Fani Chatzopoulou
Aikaterini Fragkouli
Magdalini Alexandridou
Ilias Mavrovouniotis
Anastasia Chatzinikolaou
Dimitrios Chatzidimitriou
author_sort Georgios Meletis
collection DOAJ
description Objectives: Greece is endemic for KPC-encoding Klebsiella pneumoniae; however, until now, reports have referred only to hospital isolates. In this study, seven KPC-encoding K. pneumoniae isolated in private laboratories from non-hospitalised patients were characterised. Methods: Whole-genome sequencing was performed on an Illumina MiniSeq Sequencing System. Multilocus sequence typing (MLST) was performed using a BLAST-based approach, and antimicrobial resistance genes and plasmid replicons were identified using ResFinder and PlasmidFinder, respectively. The Rapid Annotation using Subsystem Technology (RAST) v.2.0 server was used for genome annotation of virulence, pathogenesis and defence genes. Results: Six isolates belonged to the major MLST sequence type 258 (ST258) and one to ST39. The resistome included genes encoding resistance mechanisms to β-lactams, aminoglycosides, quinolones, sulfonamides, trimethoprim, fosfomycin and phenicols, conferring multidrug-resistant phenotypes. Moreover, various genes involved in virulence, pathogenesis and defence have been identified. Conclusions: It is highly probable that these isolates were acquired during previous hospitalisation in Greek hospitals. The presence of KPC-encoding K. pneumoniae in non-hospitalised patients is alarming, although it is not yet possible to assess its actual impact.
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spelling doaj.art-6742b1418a864f82bded0f6827cb8a632022-12-21T18:51:14ZengElsevierJournal of Global Antimicrobial Resistance2213-71652020-03-01207881Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patientsGeorgios Meletis0Fani Chatzopoulou1Aikaterini Fragkouli2Magdalini Alexandridou3Ilias Mavrovouniotis4Anastasia Chatzinikolaou5Dimitrios Chatzidimitriou6Labnet Laboratories, Agiou Dimitriou str. 161, 54638 Thessaloniki, Greece; Corresponding author.Labnet Laboratories, Agiou Dimitriou str. 161, 54638 Thessaloniki, Greece; Laboratory of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, GreeceLabnet Laboratories, Agiou Dimitriou str. 161, 54638 Thessaloniki, GreecePrivate Biopathology Laboratory, GreecePrivate Biopathology Laboratory, GreecePrivate Biopathology Laboratory, GreeceLabnet Laboratories, Agiou Dimitriou str. 161, 54638 Thessaloniki, Greece; Laboratory of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, GreeceObjectives: Greece is endemic for KPC-encoding Klebsiella pneumoniae; however, until now, reports have referred only to hospital isolates. In this study, seven KPC-encoding K. pneumoniae isolated in private laboratories from non-hospitalised patients were characterised. Methods: Whole-genome sequencing was performed on an Illumina MiniSeq Sequencing System. Multilocus sequence typing (MLST) was performed using a BLAST-based approach, and antimicrobial resistance genes and plasmid replicons were identified using ResFinder and PlasmidFinder, respectively. The Rapid Annotation using Subsystem Technology (RAST) v.2.0 server was used for genome annotation of virulence, pathogenesis and defence genes. Results: Six isolates belonged to the major MLST sequence type 258 (ST258) and one to ST39. The resistome included genes encoding resistance mechanisms to β-lactams, aminoglycosides, quinolones, sulfonamides, trimethoprim, fosfomycin and phenicols, conferring multidrug-resistant phenotypes. Moreover, various genes involved in virulence, pathogenesis and defence have been identified. Conclusions: It is highly probable that these isolates were acquired during previous hospitalisation in Greek hospitals. The presence of KPC-encoding K. pneumoniae in non-hospitalised patients is alarming, although it is not yet possible to assess its actual impact.http://www.sciencedirect.com/science/article/pii/S2213716519301936Klebsiella pneumoniaeKPCST258ST39Whole-genome sequencingGreece
spellingShingle Georgios Meletis
Fani Chatzopoulou
Aikaterini Fragkouli
Magdalini Alexandridou
Ilias Mavrovouniotis
Anastasia Chatzinikolaou
Dimitrios Chatzidimitriou
Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients
Journal of Global Antimicrobial Resistance
Klebsiella pneumoniae
KPC
ST258
ST39
Whole-genome sequencing
Greece
title Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients
title_full Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients
title_fullStr Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients
title_full_unstemmed Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients
title_short Whole-genome sequencing study of KPC-encoding Klebsiella pneumoniae isolated in Greek private laboratories from non-hospitalised patients
title_sort whole genome sequencing study of kpc encoding klebsiella pneumoniae isolated in greek private laboratories from non hospitalised patients
topic Klebsiella pneumoniae
KPC
ST258
ST39
Whole-genome sequencing
Greece
url http://www.sciencedirect.com/science/article/pii/S2213716519301936
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