{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:22:16Z","timestamp":1790882536357,"version":"4.1.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Carbapenem-resistant Enterobacterales were isolated from the outlet of a wastewater treatment plant in Kristianstad in southern Sweden, during spring and summer of the year 2024. MALDI-ToF MS identification and subsequent whole-genome sequencing identified eight\n                    <jats:italic>Klebsiella pneumoniae<\/jats:italic>\n                    strains belonging to ST437 and ST873 and 10\n                    <jats:italic>Escherichia coli<\/jats:italic>\n                    strains belonging to ST167, ST648, ST1284, and ST8346. All strains, except\n                    <jats:italic>K. pneumoniae<\/jats:italic>\n                    ST873, were NDM-5 positive.\n                    <jats:italic>K. pneumaniae<\/jats:italic>\n                    ST437 and\n                    <jats:italic>E. coli<\/jats:italic>\n                    ST8346 carried two carbapenemase genes,\n                    <jats:italic>bla<\/jats:italic>\n                    <jats:sub>NDM-5<\/jats:sub>\n                    and\n                    <jats:italic>bla<\/jats:italic>\n                    <jats:sub>OXA-181<\/jats:sub>\n                    , as well as the extended-spectrum-\u03b2-lactamases (ESBL) gene\n                    <jats:italic>bla<\/jats:italic>\n                    <jats:sub>CTX-M-15<\/jats:sub>\n                    . These two multi-drug-resistant ST variants that are widespread globally, that have previously not been detected in clinical settings in Sweden, are now detected in treated wastewater in a Swedish middle-sized town.\n                  <\/jats:p>","DOI":"10.1017\/s0950268826101071","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T10:15:36Z","timestamp":1769768136000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Emergence of bla\n                    <sub>NDM-5<\/sub>\n                    <i>Enterobacterales<\/i>\n                    in Swedish wastewater effluent"],"prefix":"10.1017","volume":"154","author":[{"given":"Carolina","family":"Axelsson","sequence":"first","affiliation":[{"name":"Kristianstad University Faculty of Natural Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Justh de Neczpal","sequence":"additional","affiliation":[{"name":"University of Gothenburg Department of Chemistry and Molecular Biology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5sa","family":"Sj\u00f6ling","sequence":"additional","affiliation":[{"name":"University of Gothenburg Department of Chemistry and Molecular Biology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8059-0156","authenticated-orcid":false,"given":"Ann-Sofi","family":"Rehnstam-Holm","sequence":"additional","affiliation":[{"name":"Kristianstad University Faculty of Natural Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"S0950268826101071_r4","first-page":"100769","article-title":"BACTpipe: bacterial whole genome sequence assembly and annotation pipeline","volume":"23","author":"Rudbeck","year":"2017\u20132021","journal-title":"iScience"},{"key":"S0950268826101071_r6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2024.102596"},{"key":"S0950268826101071_r11","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-91516-9"},{"key":"S0950268826101071_r5","doi-asserted-by":"publisher","DOI":"10.1080\/14737159.2019.1649145"},{"key":"S0950268826101071_r3","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-019-03637-5"},{"key":"S0950268826101071_r1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0195258"},{"key":"S0950268826101071_r2","doi-asserted-by":"publisher","DOI":"10.1093\/femsre\/fux013"},{"key":"S0950268826101071_r10","doi-asserted-by":"publisher","DOI":"10.1016\/j.tim.2017.09.005"},{"key":"S0950268826101071_r8","doi-asserted-by":"publisher","DOI":"10.1007\/s13205-023-03556-5"},{"key":"S0950268826101071_r7","unstructured":"[7] Public Health Agency of Sweden. ESBL CARBA disease statistics. https:\/\/www.folkhalsomyndigheten.se\/folkhalsorapportering-statistik\/hitta-statistik-och-data\/esbl-carba-statistik\/ (accessed 10 October 2025)."},{"key":"S0950268826101071_r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2025.179241"},{"key":"S0950268826101071_r9","unstructured":"[9] European Centre for Disease Prevention and Control. Increase in Escherichia coli isolates carrying blaNDM-5 in the Europe an Union\/European Economy Area. [2025-10-12]. https:\/\/www.ecdc.europa.eu\/en"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268826101071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T07:16:53Z","timestamp":1784272613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268826101071\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"alternative-id":["S0950268826101071"],"URL":"https:\/\/doi.org\/10.1017\/s0950268826101071","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e23"}}