Evidence map›Paper›PMID 40596916›Full record

ArticleBMC infectious diseases2025

Emergence of ST11-KL64 carbapenem-resistant hypervirulent Klebsiella Pneumoniae isolates harboring bla

Haojun Chen, Tingting Li, Xiaoxue Huang, Qiurong He

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Emergence of carbapenem-resistant putative hypervirulentEmerging microbes & infections · 2026
    Article
  4. Article
  5. Applied and environmental microbiology · 2026
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  16. Genetic characterization of carbapenem-resistantFrontiers in cellular and infection microbiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Haojun ChenDepartment of Laboratory Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.
Tingting LiDepartment of Laboratory Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.
Xiaoxue Huang *Department of Laboratory Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China. 476651132@qq.com.
Qiurong He *Department of Laboratory Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China. heqiurong2009@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-HvKP) poses a critical global health threat. However, molecular epidemiological data on CR-HvKP in Western China remain scarce. This study aimed to characterize the clinical profiles, molecular features, and risk factors of CR-HvKP isolates in Western China.

methodsSixty-eight carbapenem-resistant Klebsiella pneumoniae (CRKP) clinical isolates were collected from January to December in 2024. Clinical characterization included antimicrobial susceptibility profiling and hypermucoviscosity assessment via string test. Detection of carbapenemases using inhibitor enhancement test. Molecular characteristics of CRKP included serotype, carbapenemases, virulence-associated factors, and multilocus sequence typing (MLST) performed by using the PCR method. CR-HvKP was defined as the presence of any one of rmpA, rmpA2, iroB, iucA, and peg-344. Risk factors were initially evaluated using univariate logistic regression analysis, with significant variables subsequently incorporated into a multivariate regression model. A p-value < 0.05 was considered statistically significant.

resultsAmong 68 CRKP isolates, 36 were identified as CR-HvKP, all harboring the iucA gene (100%, 36/36). However, only 22.2% (8/36) of string test results correlated with virulence gene presence. All CRKP strains exhibited high resistance to most antibiotics, with comparatively lower resistance rates observed for tigecycline (0%) and polymyxin B (14.7%). Carbapenemase production was the predominant resistance mechanism, with 61.8% (42/68) carrying bla

conclusionsThe ST11-KL64 CR-HvKP clone harboring bla

Indexed as

Bacterial Proteinsbeta-LactamasesCarbapenem-Resistant EnterobacteriaceaeCarbapenemsKlebsiella InfectionsKlebsiella pneumoniaeAdultAgedAnti-Bacterial AgentsChinaFemaleHospitals, TeachingHumansMaleMicrobial Sensitivity TestsMiddle AgedAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemsVirulence FactorsCarbapenem-resistant Klebsiella pneumoniaHypervirulentMultilocus sequence typingRisk factors

Identifiers

PMID40596916
PMCPMC12220110

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.