{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:49:35Z","timestamp":1791355775171,"version":"4.3.1"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Microbiol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Carbapenemase-producing Enterobacterales (CPE) are a global public health concern. These bacteria are very common in human infections, but reports of their presence in the food chain are increasing and could represent alternative routes for colonization and infection. Hence, we conducted a surveillance study to investigate CPE in food distributed to patients at a tertiary hospital in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The samples were collected right before distribution and screened for \u03b2-lactam-resistant Enterobacterales. Isolates that exhibited carbapenem resistance were screened for NDM, IMP, VIM, OXA-48-like, and KPC carbapenemase genes by multiplex polymerase chain reaction (PCR), and those identified as CPE underwent whole-genome sequencing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Accordingly, we report the detection of a KPC-2-producing\n                      <jats:italic>Superficieibacter electus<\/jats:italic>\n                      , a KPC- 2-producing\n                      <jats:italic>Pseudocitrobacter faecalis<\/jats:italic>\n                      , and two NDM-1-producing\n                      <jats:italic>Leclercia adecarboxylata<\/jats:italic>\n                      isolated from four distinct food samples. The carbapenemase genes were harbored by plasmids, and the genomic traits indicate their potential to cause hard-to-treat human infections or serve as a reservoir of important antimicrobial resistance genes. Moreover, despite the 3-month time span between collections, the two\n                      <jats:italic>L. adecarboxylata<\/jats:italic>\n                      isolates exhibited high similarity, suggesting horizontal transmission of CPE associated with the hospital food service.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Thus, the emergence of rare Enterobacterales raises concerns about the potential for silently spreading, hard-to-treat infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmicb.2026.1978607","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:50:49Z","timestamp":1791352249000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Carbapenemase-producing rare Enterobacterales in hospital food: a Latin American one health blind spot"],"prefix":"10.3389","volume":"17","author":[{"given":"Bianca L. C. de","family":"Godoy","sequence":"first","affiliation":[{"name":"Center for Microorganism Research, Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto\u2014FAMERP","place":["S\u00e3o Jos\u00e9 do Rio Preto, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovana","family":"Rosa","sequence":"additional","affiliation":[{"name":"Center for Microorganism Research, Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto\u2014FAMERP","place":["S\u00e3o Jos\u00e9 do Rio Preto, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara C. L.","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Center for Microorganism Research, Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto\u2014FAMERP","place":["S\u00e3o Jos\u00e9 do Rio Preto, Brazil"]},{"name":"Hospital de Base\u2014Funfarme","place":["S\u00e3o Jos\u00e9 do Rio Preto, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilton","family":"Lincopan","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Institute of Biomedical Sciences, University of S\u00e3o Paulo","place":["S\u00e3o Paulo, Brazil"]},{"name":"Antimicrobial Resistance Institute of S\u00e3o Paulo (ARIES)","place":["S\u00e3o Paulo, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago","family":"Casella","sequence":"additional","affiliation":[{"name":"Center for Microorganism Research, Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto\u2014FAMERP","place":["S\u00e3o Jos\u00e9 do Rio Preto, Brazil"]},{"name":"Hospital de Base\u2014Funfarme","place":["S\u00e3o Jos\u00e9 do Rio Preto, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"9336","DOI":"10.2903\/j.efsa.2025.9336","article-title":"Occurrence and spread of carbapenemase-producing Enterobacterales (CPE) in the food chain in the EU\/EFTA. 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