{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:33:43Z","timestamp":1777923223129,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Emergence and the rising prevalence of extended-spectrum \u03b2-lactamases (ESBLs) producing multidrug-resistant\n                      <jats:italic toggle=\"yes\">Klebsiella<\/jats:italic>\n                      spp. is a global concern.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      391 samples were collected from environmental and people in an intensive vegetable cultivation area in eastern China in June 2019. ESBLs-producing\n                      <jats:italic toggle=\"yes\">Klebsiella<\/jats:italic>\n                      spp. were obtained by PCR and strain identification. The resistance genotype and phenotype of the strain were determined by PCR and drug susceptibility test. The number and size of plasmids were determined by pulsed-field gel electrophoresis assays of plasmids. The plasmid of\n                      <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                      <jats:sub>CTX-M<\/jats:sub>\n                      was determined by DNA imprinting hybridization, and the transferability of plasmid was understood by plasmid conjugation experiment. Whole-genome sequencing analysis (WGS) was used to obtain other antimicrobial resistance genes, virulence factors, mobile elements, and genetic environment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventeen ESBL-producing\n                      <jats:italic toggle=\"yes\">Klebsiella<\/jats:italic>\n                      spp. were multi-drug resistant. Sixteen ESBLs-producing\n                      <jats:italic toggle=\"yes\">Klebsiella<\/jats:italic>\n                      spp. carried the\n                      <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                      <jats:sub>CTX-M<\/jats:sub>\n                      , and the size of the plasmid containing the\n                      <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                      <jats:sub>CTX-M<\/jats:sub>\n                      anged from \u223c33.3 kb to \u223c244.4 kb. Thirteen ESBLs-producing\n                      <jats:italic toggle=\"yes\">Klebsiella<\/jats:italic>\n                      spp. carried the\n                      <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                      <jats:sub>CTX-M<\/jats:sub>\n                      were successfully transferred to the recipient bacterium through plasmid mediation. Single nucleotide polymorphism analysis showed clonal transmission between river water (J4-J8) and river sediment (J9), in river water (J3) and human feces (J12). WGS showed that all\n                      <jats:italic toggle=\"yes\">bla<\/jats:italic>\n                      <jats:sub>CTX-M<\/jats:sub>\n                      were associated with the mobile element\n                      <jats:italic toggle=\"yes\">Tn3<\/jats:italic>\n                      and\/or\n                      <jats:italic toggle=\"yes\">IS1380<\/jats:italic>\n                      family. All strains carried virulence factors related to adhesion, colonization, and pathogenicity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study reminds us that antibiotic-resistant bacteria (ARB) from vegetable cultivation environments can spread to human. It is vital to enhance surveillance of the vegetable cultivation area and high vigilance for the risk of ARB movement from the vegetable plantation environment to humans.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/mdr.2024.0140","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T12:36:01Z","timestamp":1744634161000},"page":"133-143","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clonal and Plasmid-Mediated Dissemination of \u03b2-Lactamases Producing\n                    <i>Klebsiella<\/i>\n                    spp. Among Environment and Humans in an Intensive Vegetable Cultivation Area in Eastern China"],"prefix":"10.1177","volume":"31","author":[{"given":"Kaixin","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Environment and Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunting","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Environment and Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Zhao","sequence":"additional","affiliation":[{"name":"Zibo Center for Disease Control and Prevention, Zibo, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenhua","family":"Shang","sequence":"additional","affiliation":[{"name":"NO.6 Geological Team of Shandong Provincial Bureau of Geology and Mineral Resources, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huiyun","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Environment and Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiliang","family":"Si","sequence":"additional","affiliation":[{"name":"Department of Environment and Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianle","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Environment and Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuewen","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Environment and Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"issue":"11","key":"e_1_3_8_2_2","doi-asserted-by":"crossref","DOI":"10.3390\/pathogens10111426","article-title":"Outbreak of CTX-M-15 extended-spectrum \u03b2-lactamase-producing Klebsiella pneumoniae ST394 in a French intensive care unit dedicated to COVID-19","volume":"10","author":"Emeraud C","year":"2021","unstructured":"Emeraud C, , Figueiredo S, , Bonnin RA, et al. 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