{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:32:50Z","timestamp":1777923170005,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                    is one of the main opportunistic pathogens that cause a broad spectrum of diseases with increasingly frequent acquisition of resistance to antibiotics, namely carbapenems. This study focused on the characterization of 23 OXA-48-like carbapenemase-producing\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates using phenotypic and molecular tests. Phenotypic determination of the presence of \u03b2-lactamases was performed using the extended-spectrum beta-lactamase (ESBL) NP test, and phenotypic determination of the presence of carbapenemase was based on the Carba NP test. Antimicrobial susceptibility tests were performed to assess the resistance against carbapenems. Molecular characterization of ESBL genes and carbapenemase genes (\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>OXA-48<\/jats:sub>\n                    <\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>KPC<\/jats:sub>\n                    <\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>VIM<\/jats:sub>\n                    <\/jats:italic>\n                    , and\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>NDM<\/jats:sub>\n                    <\/jats:italic>\n                    ) was performed using polymerase chain reaction (PCR) techniques. In addition,\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    strains were analyzed for their relatedness using multilocus sequence typing PCR analysis based on the Institut Pasteur protocol, which produces allelic profiles that contain their evolutionary and geographic pattern. Following further Sanger sequencing of the\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>OXA-48<\/jats:sub>\n                    <\/jats:italic>\n                    genes, no genetic mutations were found. Some OXA-48-producing\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates coharbored\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>KPC<\/jats:sub>\n                    <\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>NDM<\/jats:sub>\n                    <\/jats:italic>\n                    , and\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>VIM<\/jats:sub>\n                    <\/jats:italic>\n                    genes, which encode other carbapenemases that can hydrolyze carbapenem antibiotics. The final part of the study focused on the characterization of the plasmid profiles of all isolates to better understand the spreading of the IncL\/M\n                    <jats:italic toggle=\"yes\">\n                      bla\n                      <jats:sub>OXA-48<\/jats:sub>\n                    <\/jats:italic>\n                    plasmid gene. The plasmid profile also revealed other incompatibility groups, suggesting that other plasmid genes are spreading in\n                    <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                    isolates, which can coharbor and spread different carbapenemases simultaneously.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2023.0134","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T11:02:43Z","timestamp":1704193363000},"page":"127-133","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Different OXA-Carbapenemases in Genetically Unrelated\n                    <i>Klebsiella pneumoniae<\/i>\n                    Strains Isolated in a North Italian Hospital During Multidrug Resistance Screening"],"prefix":"10.1177","volume":"30","author":[{"given":"Elena","family":"Addis","sequence":"first","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Unali","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bertoncelli","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Ventura","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Cecchetto","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annarita","family":"Mazzariol","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"issue":"1","key":"e_1_3_4_2_2","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1128\/AAC.48.1.15-22.2004","article-title":"Emergence of oxacillinase-mediated resistance to imipenem in Klebsiella pneumoniae","volume":"48","author":"Poirel L","year":"2004","unstructured":"Poirel L, , H\u00e9ritier C, , Tol\u00fcn V, et al. Emergence of oxacillinase-mediated resistance to imipenem in Klebsiella pneumoniae. Antimicrob Agents Chemother, 2004; 48(1):15\u201322; doi: 10.1128\/AAC.48.1.15-22.2004","journal-title":"Antimicrob Agents Chemother"},{"issue":"1","key":"e_1_3_4_3_2","first-page":"e00102","article-title":"The global ascendency of OXA-48-type carbapenemases","volume":"33","author":"Pitout JDD","year":"2019","unstructured":"Pitout JDD, , Peirano G, , Kock MM, et al. The global ascendency of OXA-48-type carbapenemases. Clin Microbiol Rev, 2019; 33(1):e00102\u2013e00119; doi: 10.1128\/CMR.00102-19","journal-title":"Clin Microbiol Rev"},{"issue":"1","key":"e_1_3_4_4_2","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s12866-022-02443-y","article-title":"Diffusion of OXA-48 carbapenemase among urinary isolates of Klebsiella pneumoniae in non-hospitalized elderly patients","volume":"22","author":"\u0160uto S","year":"2022","unstructured":"\u0160uto S, , Bedeni\u0107 B, , Liki\u0107 S, et al. Diffusion of OXA-48 carbapenemase among urinary isolates of Klebsiella pneumoniae in non-hospitalized elderly patients. BMC Microbiol, 2022; 22(1):30; doi: 10.1186\/s12866-022-02443-y","journal-title":"BMC Microbiol"},{"issue":"1","key":"e_1_3_4_5_2","doi-asserted-by":"crossref","first-page":"11875","DOI":"10.1038\/s41598-021-90382-5","article-title":"Molecular characterization of multidrug resistant Enterobacterales strains isolated from liver and kidney transplant recipients in Spain","volume":"11","author":"Fern\u00e1ndez-Mart\u00ednez M","year":"2021","unstructured":"Fern\u00e1ndez-Mart\u00ednez M, , Gonz\u00e1lez-Rico C, , Gozalo-Marg\u00fcello M, et al. Molecular characterization of multidrug resistant Enterobacterales strains isolated from liver and kidney transplant recipients in Spain. 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Future Microbiol, 2007; 2(5):501\u2013512; doi: 10.2217\/17460913.2.5.501","journal-title":"Future Microbiol"},{"issue":"5","key":"e_1_3_4_7_2","first-page":"000512","article-title":"blaOXA-48\n                  -like genome architecture among carbapenemase-producing Escherichia coli and Klebsiella pneumoniae in the Netherlands","volume":"7","author":"Hendrickx APA","year":"2021","unstructured":"Hendrickx APA, , Landman F, , Haan A, et al. blaOXA-48-like genome architecture among carbapenemase-producing Escherichia coli and Klebsiella pneumoniae in the Netherlands. 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J Clin Microbiol, 2020; 58(9):e00932-20; doi: 10.1128\/JCM.00932-20","journal-title":"J Clin Microbiol"},{"issue":"4","key":"e_1_3_4_9_2","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1007\/s13205-017-0879-2","article-title":"Prevalence of TEM, SHV, and CTX-M genes of extended spectrum b-lactamase-producing Escherichia coli strains isolated from urinary tract infections in adults","volume":"7","author":"Jena J","year":"2017","unstructured":"Jena J, , Kumar Sahoo R, , Kumar Debata N, et al. Prevalence of TEM, SHV, and CTX-M genes of extended spectrum b-lactamase-producing Escherichia coli strains isolated from urinary tract infections in adults. 3 Biotech, 2017; 7(4):244; doi: 10.1007\/s13205-017-0879-2","journal-title":"3 Biotech"},{"key":"e_1_3_4_10_2","unstructured":"Pournajaf A Razavi S Irajian G et al. Integron types antimicrobial resistance genes virulence gene profile alginate production and biofilm formation in Iranian cystic fibrosis Pseudomonas aeruginosa isolates. Infez Med 2018; 26(3):226\u2013236. Available from: https:\/\/www.infezmed.it [Last accessed: December19 2023]."},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkp498"},{"issue":"1","key":"e_1_3_4_12_2","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1093\/jac\/dkh321","article-title":"Detection of VIM-5 metallo-b-lactamase in a Pseudomonas aeruginosa clinical isolate from Turkey","volume":"54","author":"Bahar G","year":"2004","unstructured":"Bahar G, , Mazzariol A, , Koncan R, et al. Detection of VIM-5 metallo-b-lactamase in a Pseudomonas aeruginosa clinical isolate from Turkey. 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