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Population Structure of Multidrug-Resistant $\textit{Klebsiella oxytoca}$ within Hospitals across the United Kingdom and Ireland Identifies Sharing of Virulence and Resistance Genes with $\textit{K. pneumoniae}$

Published version
Peer-reviewed

Type

Article

Change log

Authors

Moradigaravand, D 
Martin, V 
Peacock, SJ 

Abstract

Klebsiella oxytoca, a member of the Enterobacteriaceae, is a gram-negative pathogenic bacterium of environmental origin, which can cause infection in healthcare settings. Outbreaks of multidrug-resistant K. oxytoca infection have been increasingly reported in hospitalized patients. Despite the growing importance of this pathogen, there is limited knowledge about the population structure and epidemiology of antimicrobial resistant K. oxytoca. We investigated the population structure and genomic basis of antimicrobial resistance of 41 multidrug resistant K. oxytoca isolates recovered from bloodstream infections across the UK and Ireland. Our results show that K. oxytoca has a highly diverse population, which is composed of several distinct clades, and we identified one recent expansion of a clone within our dataset. Although the K. oxytoca genomes are clearly distinct from the genomes of a global collection of Klebsiella pneumoniae complex, pre-dominantly composed of K. pneumoniae, we found evidence for sharing of core genes through recombination, as well as the exchange of accessory antimicrobial resistance and virulence factor genes between the species. Our findings also suggest that the different K. oxytoca clades have acquired antimicrobial resistance and virulence factor genes independently. This highlights the clinical and therapeutic importance of genetic flexibility in K. oxytoca and the relevance of this in its role as an opportunistic pathogen.

Description

Keywords

microbial genomics, antimicrobial resistance, population genomics, genomic epidemiology

Journal Title

Genome Biology and Evolution

Conference Name

Journal ISSN

1759-6653
1759-6653

Volume Title

9

Publisher

Oxford University Press
Sponsorship
Wellcome Trust (098600/Z/12/Z)
This publication presents independent research supported by the Health Innovation Challenge Fund (HICF-T5-342 and WT098600), a parallel funding partnership between the UK Department of Health and Wellcome Trust. The views expressed in this publication are those of the authors and not necessarily those of the Department of Health, Public Health England or the Wellcome Trust. This project was also funded by a grant awarded to the Wellcome Trust Sanger Institute (098051).