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All bacterial isolates analyzed were recovered from residual routine clinical specimens collected as part of standard patient diagnostic and care procedures. No measures that could compromise participants\u2019 rights or physical wellbeing were implemented, and all personal identifiable information was permanently excluded throughout laboratory testing and data analysis. According to the national ethical review regulatory document (No. 2016\u201311, 12\/01\/2016), the requirement for the informed consent was waived by the Ethical Committee of the Hainan Branch of Shanghai Children\u2019s Medical Center(HN-SCMC), affiliated to Shanghai Jiao Tong University School of Medicine. The study protocol was also fully reviewed and approved by the same ethics committee under approval number SYFYIRB2026014.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"753"}}