{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:53:20Z","timestamp":1775696000873,"version":"3.50.1"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDP\/04378\/2020, UIDB\/04378\/2020"],"award-info":[{"award-number":["UIDP\/04378\/2020, UIDB\/04378\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDP\/04378\/2020, UIDB\/04378\/2020"],"award-info":[{"award-number":["UIDP\/04378\/2020, UIDB\/04378\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDP\/04378\/2020, UIDB\/04378\/2020"],"award-info":[{"award-number":["UIDP\/04378\/2020, UIDB\/04378\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDP\/04378\/2020, UIDB\/04378\/2020"],"award-info":[{"award-number":["UIDP\/04378\/2020, UIDB\/04378\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Associate Laboratory Institute for Health and Bioeconomy - i4HB","award":["LA\/P\/0140\/2020"],"award-info":[{"award-number":["LA\/P\/0140\/2020"]}]},{"name":"Associate Laboratory Institute for Health and Bioeconomy - i4HB","award":["LA\/P\/0140\/2020"],"award-info":[{"award-number":["LA\/P\/0140\/2020"]}]},{"name":"Associate Laboratory Institute for Health and Bioeconomy - i4HB","award":["LA\/P\/0140\/2020"],"award-info":[{"award-number":["LA\/P\/0140\/2020"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Clin Microbiol Infect Dis"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s10096-025-05260-z","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T18:57:37Z","timestamp":1759172257000},"page":"3087-3095","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Molecular epidemiology of Klebsiella pneumoniae causing bloodstream infections in a district hospital in Northern Portugal (2016\u20132018): clonal diversity and detection of hypervirulent strains"],"prefix":"10.1007","volume":"44","author":[{"given":"Michele","family":"Loiodice","sequence":"first","affiliation":[]},{"given":"Tatiana","family":"Ribeiro","sequence":"additional","affiliation":[]},{"given":"Lu\u00eds Marques","family":"Silva","sequence":"additional","affiliation":[]},{"given":"Ana Paula","family":"Castro","sequence":"additional","affiliation":[]},{"given":"Lu\u00edsa","family":"Peixe","sequence":"additional","affiliation":[]},{"given":"\u00c2ngela","family":"Novais","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"5260_CR1","doi-asserted-by":"publisher","first-page":"e00234","DOI":"10.1128\/CMR.00234-20","volume":"17","author":"CL Holmes","year":"2021","unstructured":"Holmes CL, Anderson MT, Mobley HLT, Bachman MA (2021) Pathogenesis of Gram-Negative bacteremia. Clin Microbiol Rev 17:e00234\u2013e00220. https:\/\/doi.org\/10.1128\/CMR.00234-20","journal-title":"Clin Microbiol Rev"},{"key":"5260_CR2","doi-asserted-by":"publisher","first-page":"1157010","DOI":"10.3389\/fcimb.2023.1157010","volume":"20","author":"D Li","year":"2023","unstructured":"Li D, Huang X, Rao H, Yu H, Long S, Li Y et al (2023) Klebsiella pneumoniae bacteremia mortality: a systematic review and meta-analysis. Front Cell Infect Microbiol 20:13:1157010. https:\/\/doi.org\/10.3389\/fcimb.2023.1157010","journal-title":"Front Cell Infect Microbiol"},{"key":"5260_CR3","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1038\/s41579-019-0315-1","volume":"18","author":"KL Wyres","year":"2020","unstructured":"Wyres KL, Lam MMC, Holt KE (2020) Population genomics of Klebsiella pneumoniae. Nat Rev Microbiol 18:344\u2013359. https:\/\/doi.org\/10.1038\/s41579-019-0315-1","journal-title":"Nat Rev Microbiol"},{"key":"5260_CR4","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.mib.2018.04.004","volume":"45","author":"KL Wyres","year":"2018","unstructured":"Wyres KL, Holt KE (2018) Klebsiella pneumoniae as a key trafficker of drug resistance genes from environmental to clinically important bacteria. Curr Opin Microbiol 45:131\u2013139. https:\/\/doi.org\/10.1016\/j.mib.2018.04.004","journal-title":"Curr Opin Microbiol"},{"issue":"4","key":"5260_CR5","doi-asserted-by":"publisher","first-page":"1919","DOI":"10.1038\/s41564-019-0492-8","volume":"29","author":"S David","year":"2019","unstructured":"David S, Reuter S, Harris SR, Glasner C, Feltwell T, Argimon S et al (2019) Epidemic of carbapenem-resistant Klebsiella pneumoniae in Europe is driven by nosocomial spread. Nat Microbiol 29(4):1919\u20131929. https:\/\/doi.org\/10.1038\/s41564-019-0492-8","journal-title":"Nat Microbiol"},{"key":"5260_CR6","volume-title":"Surveillance of antimicrobial resistance in europe, 2023 data: executive summary","author":"European Centre for Disease Prevention and Control, WHO Regional Office for Europe","year":"2024","unstructured":"European Centre for Disease Prevention and Control, WHO Regional Office for Europe (2024) Surveillance of antimicrobial resistance in europe, 2023 data: executive summary. European Centre for Disease Prevention and Control, Stockholm"},{"key":"5260_CR7","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1186\/s13073-021-00947-2","volume":"13","author":"S Lipworth","year":"2021","unstructured":"Lipworth S, Vihta K-D, Chau K, Barker L, George S, Kavanagh J et al (2021) Ten-year longitudinal molecular epidemiology study of Escherichia coli and Klebsiella species bloodstream infections in oxfordshire, UK. Genome Med 13:144. https:\/\/doi.org\/10.1186\/s13073-021-00947-2","journal-title":"Genome Med"},{"key":"5260_CR8","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1016\/j.jiac.2014.08.012","volume":"20","author":"S G\u00fcrntke","year":"2014","unstructured":"G\u00fcrntke S, Kohler C, Steinmetz I, Pfeifer Y, Eller C, Gastmeier P et al (2014) Molecular epidemiology of extended-spectrum beta-lactamase (ESBL)-positive Klebsiella pneumoniae from bloodstream infections and risk factors for mortality. J Infect Chemother 20:817\u2013819. https:\/\/doi.org\/10.1016\/j.jiac.2014.08.012","journal-title":"J Infect Chemother"},{"issue":"1","key":"5260_CR9","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-17996-1","volume":"12","author":"A Spadar","year":"2022","unstructured":"Spadar A, Phelan J, Elias R, Modesto A, Caneiras C, Marques C et al (2022) Genomic epidemiological analysis of Klebsiella pneumoniae from Portuguese hospitals reveals insights into circulating antimicrobial resistance. Sci Rep 13791. https:\/\/doi.org\/10.1038\/s41598-022-17996-1","journal-title":"Sci Rep"},{"issue":"9","key":"5260_CR10","doi-asserted-by":"publisher","first-page":"806","DOI":"10.3390\/antibiotics9110806","volume":"13","author":"AM Guerra","year":"2020","unstructured":"Guerra AM, Lira A, Lameir\u00e3o A, Selaru A, Abreu G, Lopes P et al (2020) Multiplicity of Carbapenemase-Producers Three Years after a KPC-3-Producing K. pneumoniae ST147-K64 Hospital Outbreak. Antibiot 2020 13(9):806. https:\/\/doi.org\/10.3390\/antibiotics9110806","journal-title":"Antibiot 2020"},{"key":"5260_CR11","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1016\/j.jhin.2024.02.028","volume":"148","author":"NA Faria","year":"2024","unstructured":"Faria NA, Touret T, Sim\u00f5es AS, Palos C, Bispo S, Cristino JM et al (2024) Genomic insights into the expansion of carbapenem-resistant Klebsiella pneumoniae within Portuguese hospitals. J Hosp Infect 148:62\u201376. https:\/\/doi.org\/10.1016\/j.jhin.2024.02.028","journal-title":"J Hosp Infect"},{"issue":"14","key":"5260_CR12","doi-asserted-by":"publisher","first-page":"205","DOI":"10.3390\/pathogens14030205","volume":"20","author":"C Saben\u00e7a","year":"2025","unstructured":"Saben\u00e7a C, Rivi\u00e8re R, Costa E, Sousa S, Cani\u00e7a M, Silva V et al (2025) Whole-Genome Sequencing of Extended-Spectrum \u03b2-Lactamase-Producing Klebsiella pneumoniae Isolated from Human Bloodstream Infections. Pathogens 20(14):205. https:\/\/doi.org\/10.3390\/pathogens14030205","journal-title":"Pathogens\u00a0"},{"issue":"32","key":"5260_CR13","doi-asserted-by":"publisher","first-page":"e00001","DOI":"10.1128\/CMR.00001-19","volume":"19","author":"TA Russo","year":"2019","unstructured":"Russo TA, Marr CM (2019) Hypervirulent Klebsiella pneumoniae. Clin Microbiol Rev 19(32):e00001-19. https:\/\/doi.org\/10.1128\/CMR.00001-19","journal-title":"Clin Microbiol Rev"},{"key":"5260_CR14","doi-asserted-by":"publisher","first-page":"5243","DOI":"10.2147\/IDR.S418523","volume":"16","author":"J Chen","year":"2023","unstructured":"Chen J, Zhang H, Liao X (2023) Hypervirulent Klebsiella pneumoniae. IDR 16:5243\u20135249. https:\/\/doi.org\/10.2147\/IDR.S418523","journal-title":"IDR"},{"key":"5260_CR15","doi-asserted-by":"publisher","first-page":"6115","DOI":"10.1128\/AAC.01127-16","volume":"60","author":"Y Zhang","year":"2016","unstructured":"Zhang Y, Zhao C, Wang Q, Wang X, Chen H, Li H et al (2016) High prevalence of hypervirulent Klebsiella pneumoniae infection in china: geographic distribution, clinical characteristics, and antimicrobial resistance. Antimicrob Agents Chemother 60:6115\u20136120. https:\/\/doi.org\/10.1128\/AAC.01127-16","journal-title":"Antimicrob Agents Chemother"},{"key":"5260_CR16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2025.102834","volume":"18","author":"L Gan","year":"2025","unstructured":"Gan L, Mao P, Tian Z, Li X, Yu Z, Du B et al (2025) Higher prevalence of hypervirulent Klebsiella pneumoniae isolates with high-risk multidrug resistance in Asia. J Infect Public Health 18:102834. https:\/\/doi.org\/10.1016\/j.jiph.2025.102834","journal-title":"J Infect Public Health"},{"key":"5260_CR17","doi-asserted-by":"publisher","DOI":"10.2900\/993023","volume-title":"Emergence of hypervirulent Klebsiella pneumoniae ST23 carrying carbapenemase genes in EU\/EEA countries, first update. [Internet]","author":"European Centre for Disease Prevention and Control","year":"2024","unstructured":"European Centre for Disease Prevention and Control (2024) Emergence of hypervirulent Klebsiella pneumoniae ST23 carrying carbapenemase genes in EU\/EEA countries, first update. [Internet]. Publications Office, LU. [cited 2024 3]https:\/\/data.europa.eu\/doi\/https:\/\/doi.org\/10.2900\/993023"},{"key":"5260_CR18","unstructured":"Lewis JS (2022) CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 32nd ed. CLSI supplement M100. Clinical and Laboratory Standards Institute"},{"key":"5260_CR19","doi-asserted-by":"publisher","first-page":"4281","DOI":"10.1128\/JCM.01634-13","volume":"51","author":"J Pires","year":"2013","unstructured":"Pires J, Novais \u00c2, Peixe L (2013) Blue-carba, an easy biochemical test for detection of diverse carbapenemase producers directly from bacterial cultures. J Clin Microbiol 51:4281\u20134283. https:\/\/doi.org\/10.1128\/JCM.01634-13","journal-title":"J Clin Microbiol"},{"issue":"68","key":"5260_CR20","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.1093\/jac\/dkt065","volume":"1","author":"P Bogaerts","year":"2013","unstructured":"Bogaerts P, Rezende De Castro R, De Mendonca R, Huang T-D, Denis O, Glupczynski Y (2013) Validation of carbapenemase and extended-spectrum -lactamase multiplex endpoint PCR assays according to ISO 15189. J Antimicrob Chemother 2013 1(68):1576\u20131582. https:\/\/doi.org\/10.1093\/jac\/dkt065","journal-title":"J Antimicrob Chemother 2013"},{"key":"5260_CR21","doi-asserted-by":"publisher","first-page":"1823","DOI":"10.1128\/AAC.49.5.1823-1829.2005","volume":"49","author":"E Machado","year":"2005","unstructured":"Machado E, Cant\u00f3n R, Baquero F, Gal\u00e1n J-C, Roll\u00e1n A, Peixe L et al (2005) Integron content of Extended-Spectrum-\u03b2-Lactamase-Producing Escherichia coli strains over 12 years in a single hospital in madrid, Spain. Antimicrob Agents Chemother 49:1823\u20131829. https:\/\/doi.org\/10.1128\/AAC.49.5.1823-1829.2005","journal-title":"Antimicrob Agents Chemother"},{"key":"5260_CR22","doi-asserted-by":"publisher","first-page":"762","DOI":"10.3201\/eid2404.171787","volume":"24","author":"AC Mendes","year":"2018","unstructured":"Mendes AC, Novais \u00c2, Campos J, Rodrigues C, Santos C, Antunes P et al (2018) mcr-1 in carbapenemase-producing Klebsiella pneumoniae with hospitalized patients, Portugal, 2016\u20132017. Emerg Infect Dis 24:762\u2013766. https:\/\/doi.org\/10.3201\/eid2404.171787","journal-title":"Emerg Infect Dis"},{"key":"5260_CR23","doi-asserted-by":"publisher","unstructured":"Sprent P (2011) Fisher Exact Test [Internet]. In: Lovric M, editor. International Encyclopedia of Statistical Science. Berlin, Heidelberg: Springer Berlin Heidelberg; [cited 2024 3]. pp. 524\u20135.doi: http:\/\/link.springer.com\/https:\/\/doi.org\/10.1007\/978-3-642-04898-2_253","DOI":"10.1007\/978-3-642-04898-2_253"},{"key":"5260_CR24","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1111\/j.1469-0691.2011.03570.x","volume":"18","author":"A-P Magiorakos","year":"2012","unstructured":"Magiorakos A-P, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG et al (2012) Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect 18:268\u2013281. https:\/\/doi.org\/10.1111\/j.1469-0691.2011.03570.x","journal-title":"Clin Microbiol Infect"},{"issue":"62","key":"5260_CR25","doi-asserted-by":"publisher","first-page":"e01211","DOI":"10.1128\/jcm.01211-23","volume":"14;62","author":"\u00c2 Novais","year":"2024","unstructured":"Novais \u00c2, Gon\u00e7alves AB, Ribeiro TG, Freitas AR, M\u00e9ndez G, Mancera L et al (2024) Development and validation of a quick, automated, and reproducible ATR FT-IR spectroscopy machine-learning model for Klebsiella pneumoniae typing. J Clin Microbiol 14(62):e01211\u2013e01223. https:\/\/doi.org\/10.1128\/jcm.01211-23","journal-title":"J Clin Microbiol 2024"},{"key":"5260_CR26","doi-asserted-by":"publisher","unstructured":"Gon\u00e7alves AB, Alves V, Neves I, Read A, Pinheiro N, Henius AE et al (2025) Real-time FT-IR typing of Klebsiella pneumoniae: a flexible and rapid approach for outbreak detection and infection control. J Antimicrob Chemother 31dkaf170. https:\/\/doi.org\/10.1093\/jac\/dkaf170","DOI":"10.1093\/jac\/dkaf170"},{"key":"5260_CR27","doi-asserted-by":"publisher","first-page":"4073","DOI":"10.1128\/JCM.01924-13","volume":"51","author":"S Brisse","year":"2013","unstructured":"Brisse S, Passet V, Haugaard AB, Babosan A, Kassis-Chikhani N, Struve C et al (2013) wzi Gene Sequencing, a Rapid Method for Determination of Capsular Type for Klebsiella Strains. J Clin Microbiol 51:4073\u20138. https:\/\/doi.org\/10.1128\/JCM.01924-13","journal-title":"J Clin Microbiol"},{"key":"5260_CR28","doi-asserted-by":"publisher","first-page":"4178","DOI":"10.1128\/JCM.43.8.4178-4182.2005","volume":"43","author":"L Diancourt","year":"2005","unstructured":"Diancourt L, Passet V, Verhoef J, Grimont PAD, Brisse S (2005) Multilocus sequence typing of Klebsiella pneumoniae nosocomial isolates. J Clin Microbiol 43:4178\u20134182. https:\/\/doi.org\/10.1128\/JCM.43.8.4178-4182.2005","journal-title":"J Clin Microbiol"},{"issue":"12","key":"5260_CR29","doi-asserted-by":"publisher","first-page":"4188","DOI":"10.1038\/s41467-021-24448-3","volume":"7","author":"MMC Lam","year":"2021","unstructured":"Lam MMC, Wick RR, Watts SC, Cerdeira LT, Wyres KL, Holt KE (2021) A genomic surveillance framework and genotyping tool for Klebsiella pneumoniae and its related species complex. Nat Commun 2021 7(12):4188. https:\/\/doi.org\/10.1038\/s41467-021-24448-3","journal-title":"Nat Commun 2021"},{"issue":"10","key":"5260_CR30","doi-asserted-by":"publisher","first-page":"e01970","DOI":"10.1128\/spectrum.01970-21","volume":"27","author":"\u00c1 Cano","year":"2022","unstructured":"Cano \u00c1, Guti\u00e9rrez-Guti\u00e9rrez B, Machuca I, Torre-Gim\u00e9nez J, Gracia-Ahufinger I, Natera AM et al (2022) Association between Timing of Colonization and Risk of Developing Klebsiella pneumoniae Carbapenemase-Producing K. pneumoniae Infection in Hospitalized Patients. Microbiol Spectr 2022 27(10):e01970\u2013e01921. https:\/\/doi.org\/10.1128\/spectrum.01970-21","journal-title":"Microbiol Spectr 2022"},{"issue":"15","key":"5260_CR31","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1093\/cid\/cix270","volume":"65","author":"CL Gorrie","year":"2017","unstructured":"Gorrie CL, Mir\u010deta M, Wick RR, Edwards DJ, Thomson NR, Strugnell RA et al (2017) Gastrointestinal carriage is a major reservoir of Klebsiella pneumoniae infection in intensive care patients. Clin Infect Dis 65(15):208\u2013215. https:\/\/doi.org\/10.1093\/cid\/cix270","journal-title":"Clin Infect Dis"},{"key":"5260_CR32","doi-asserted-by":"publisher","unstructured":"European Centre for Disease Prevention and Control (2022) World health organization. Antimicrobial [Internet]esistance surveillance in Europe 2022: 2020 data. [Internet]. Publications Office, LU. https:\/\/data.europa.eu\/doi\/https:\/\/doi.org\/10.2900\/112339. [cited 2024 3]","DOI":"10.2900\/112339"},{"issue":"5","key":"5260_CR33","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2025.107583","volume":"66","author":"R Elias","year":"2025","unstructured":"Elias R, Phelan JE, Lito L, Caneiras C, Marques C, Pinto M et al (2025) Genome-wide analysis and longitudinal study of Klebsiella pneumoniae in Portugal: tracing the evolution and spread of carbapenem resistance. Int J Antimicrob Agents 107583. https:\/\/doi.org\/10.1016\/j.ijantimicag.2025.107583","journal-title":"Int J Antimicrob Agents"},{"key":"5260_CR34","doi-asserted-by":"publisher","first-page":"2060","DOI":"10.1128\/JCM.03455-14","volume":"53","author":"A Gomez-Simmonds","year":"2015","unstructured":"Gomez-Simmonds A, Greenman M, Sullivan SB, Tanner JP, Sowash MG, Whittier S et al (2015) Population structure of Klebsiella pneumoniae causing bloodstream infections at a new York City tertiary care hospital: diversification of multidrug-resistant isolates. J Clin Microbiol 53:2060\u20132067. https:\/\/doi.org\/10.1128\/JCM.03455-14","journal-title":"J Clin Microbiol"},{"key":"5260_CR35","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1186\/s12879-022-07558-1","volume":"22","author":"TJ Kochan","year":"2022","unstructured":"Kochan TJ, Nozick SH, Medernach RL, Cheung BH, Gatesy SWM, Lebrun-Corbin M et al (2022) Genomic surveillance for multidrug-resistant or hypervirulent Klebsiella pneumoniae among united States bloodstream isolates. BMC Infect Dis 22:603. https:\/\/doi.org\/10.1186\/s12879-022-07558-1","journal-title":"BMC Infect Dis"},{"issue":"26","key":"5260_CR36","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1089\/mdr.2019.0079","volume":"1;26","author":"MS Han","year":"2020","unstructured":"Han MS, Park KS, Jeon JH, Lee JK, Lee JH, Choi EH et al (2020) SHV Hyperproduction as a Mechanism for Piperacillin\u2013Tazobactam Resistance in Extended-Spectrum Cephalosporin-Susceptible Klebsiella pneumoniae. Microb Drug Resist 2020 1;26(26):334\u2013340. https:\/\/doi.org\/10.1089\/mdr.2019.0079","journal-title":"Microb Drug Resist 2020"},{"key":"5260_CR37","doi-asserted-by":"publisher","unstructured":"Edwards T, Heinz E, Van Aartsen J, Howard A, Roberts P, Corless C et al Piperacillin\/tazobactam-resistant, cephalosporin-susceptible Escherichia coli bloodstream infections are driven by multiple acquisition of resistance across diverse sequence types. Microbial Genomics doi: https:\/\/www.microbiologyresearch.org\/content\/journal\/mgen\/https:\/\/doi.org\/10.1099\/mgen.0.000789","DOI":"10.1099\/mgen.0.000789"},{"issue":"13","key":"5260_CR38","doi-asserted-by":"publisher","first-page":"783523","DOI":"10.3389\/fmicb.2022.783523","volume":"18","author":"C-H Liao","year":"2022","unstructured":"Liao C-H, Huang Y-T, Hsueh P-R (2022) Multicenter Surveillance of Capsular Serotypes, Virulence Genes, and Antimicrobial Susceptibilities of Klebsiella pneumoniae Causing Bacteremia in Taiwan, 2017\u20132019. Front Microbiol 18(13):783523. https:\/\/doi.org\/10.3389\/fmicb.2022.783523","journal-title":"Front Microbiol\u00a0"},{"issue":"11","key":"5260_CR39","doi-asserted-by":"publisher","first-page":"e03395","DOI":"10.1128\/spectrum.03395-22","volume":"15;11","author":"C Rodrigues","year":"2023","unstructured":"Rodrigues C, Lanza VF, Peixe L, Coque TM, Novais \u00c2 (2023) Phylogenomics of Globally Spread Clonal Groups 14 and 15 of Klebsiella pneumoniae. Microbiol Spectr 2023 15;11(11):e03395\u2013e03322. https:\/\/doi.org\/10.1128\/spectrum.03395-22","journal-title":"Microbiol Spectr 2023"},{"key":"5260_CR40","doi-asserted-by":"publisher","unstructured":"Lewis JM, Mphasa M, Banda R, Beale MA, Mallewa J, Heinz E et al (2021) Genomic and antigenic diversity of carried Klebsiella pneumoniae isolates mirrors that of invasive isolates in Blantyre. Malawi [Internet]\u00a0[cited 2024 3];doi: http:\/\/biorxiv.org\/lookup\/doi\/https:\/\/doi.org\/10.1101\/2021.10.07.463515. 7","DOI":"10.1101\/2021.10.07.463515"},{"issue":"11","key":"5260_CR41","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.3389\/fmicb.2020.01249","volume":"12","author":"M Choi","year":"2020","unstructured":"Choi M, Hegerle N, Nkeze J, Sen S, Jamindar S, Nasrin S et al (2020) The diversity of lipopolysaccharide (O) and capsular polysaccharide (K) antigens of invasive Klebsiella pneumoniae in a Multi-Country collection. Front Microbiol 12(11):1249. https:\/\/doi.org\/10.3389\/fmicb.2020.01249","journal-title":"Front Microbiol"},{"issue":"13","key":"5260_CR42","doi-asserted-by":"publisher","first-page":"983294","DOI":"10.3389\/fmicb.2022.983294","volume":"15","author":"F Arena","year":"2022","unstructured":"Arena F, Menchinelli G, Di Pilato V, Torelli R, Antonelli A, De Henrici L et al (2022) Resistance and virulence features of hypermucoviscous Klebsiella pneumoniae from bloodstream infections: results of a nationwide Italian surveillance study. Front Microbiol 15(13):983294. https:\/\/doi.org\/10.3389\/fmicb.2022.983294","journal-title":"Front Microbiol"},{"key":"5260_CR43","doi-asserted-by":"publisher","unstructured":"Mohamed FA, Timmer B, Hargitai R, Melegh S, Mesz\u00e9na R, P\u00e1l T et al (2025) Hypervirulent Klebsiella pneumoniae causing bloodstream infections in Hungary. Microbiol Spectr 4e00031\u20134e00025. https:\/\/doi.org\/10.1128\/spectrum.00031-25","DOI":"10.1128\/spectrum.00031-25"},{"key":"5260_CR44","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.3201\/eid2607.191490","volume":"26","author":"R Beyrouthy","year":"2020","unstructured":"Beyrouthy R, Dalmasso G, Birer A, Robin F, Bonnet R (2020) Carbapenem resistance conferred by OXA-48 in K2-ST86 hypervirulent Klebsiella pneumoniae, France. Emerg Infect Dis 26:1529\u20131533. https:\/\/doi.org\/10.3201\/eid2607.191490","journal-title":"Emerg Infect Dis"},{"key":"5260_CR45","doi-asserted-by":"publisher","first-page":"28e01424","DOI":"10.1128\/aac.01424-22","volume":"28","author":"O Hallal Ferreira Raro","year":"2023","unstructured":"Hallal Ferreira Raro O, Nordmann P, Dominguez Pino M, Findlay J, Poirel L (2023) Emergence of Carbapenemase-Producing Hypervirulent Klebsiella pneumoniae in Switzerland. Antimicrob Agents Chemother 28:28e01424\u201328e01422. https:\/\/doi.org\/10.1128\/aac.01424-22","journal-title":"Antimicrob Agents Chemother\u00a0"}],"container-title":["European Journal of Clinical Microbiology &amp; Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10096-025-05260-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10096-025-05260-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10096-025-05260-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T10:45:44Z","timestamp":1767091544000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10096-025-05260-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,29]]},"references-count":45,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["5260"],"URL":"https:\/\/doi.org\/10.1007\/s10096-025-05260-z","relation":{},"ISSN":["0934-9723","1435-4373"],"issn-type":[{"value":"0934-9723","type":"print"},{"value":"1435-4373","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,29]]},"assertion":[{"value":"25 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Human Ethics and Consent to Participate declarations: not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}