Predominance of KPC-3 in a Survey for Carbapenemase-Producing Enterobacteriaceae in Portugal

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Abstract
Among the 2,105 Enterobacteriaceae tested in a survey done in Portugal, 165 were nonsusceptible to carbapenems, from which 35 (26 Klebsiella pneumoniae , 3 Escherichia coli , 2 Enterobacter aerogenes , and 3 Enterobacter cloacae isolates and 1 Klebsiella oxytoca isolate) were confirmed to be carbapenemase producers by the presence of 30 Tn 4401d- bla KPC-3 , 4 intI 3- bla GES-5 , and one intI 1- bla VIM-2 gene, alone or in combination with other bla genes. The dissemination of bla KPC-3 gene carried by an IncF plasmid suggests lateral gene transfer as a major mechanism of dissemination.

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