Evidence map›Paper›PMID 40890500›Full record

ArticleCommunications medicine2025

Global trends of antimicrobial resistance and virulence of Klebsiella pneumoniae from different host sources.

Xi Huang, Xinzhi Yao, Yanyan Hou, Dajun Zhang, Rui Xie, Congcong Shi, Yuyao Shang, Haixing Bi, Wenbo Song, Lin Hua and 4 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. Article
  2. Genomic Surveillance of ESBL-ProducingPathogens (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. The genomic landscape of Klebsiella pneumoniae in Russia.World journal of microbiology & biotechnology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Draft genome sequences of three multidrug-resistantMicrobiology resource announcements · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

14 authors.

Xi Huang *National Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Xinzhi Yao *College of Informatics, Hubei Key Laboratory of Agricultural Bioinformatics, Huazhong Agricultural University, Wuhan, China.ORCID http://orcid.org/0000-0001-6795-2653
Yanyan HouNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Dajun ZhangNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Rui XieNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Congcong ShiNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Yuyao ShangNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Haixing BiNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Wenbo SongNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Lin HuaNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Chunhui LiInfection Control Center, Xiangya Hospital of Central South University, Changsha, China.ORCID http://orcid.org/0000-0003-2418-5882
Huanchun ChenNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Bin WuNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China. wub@mail.hzau.edu.cn.ORCID http://orcid.org/0000-0001-9078-386X
Zhong PengNational Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China. pengzhong@mail.hzau.edu.cn.ORCID http://orcid.org/0000-0001-5249-328X

Funding

Natural Science Foundation of Hubei Province (Hubei Provincial Natural Science Foundation) 2023AFA094
6 · The paper itself

Abstract

backgroundKlebsiella pneumoniae is ubiquitous in animals, humans, and the environment, facilitating the dissemination of antimicrobial resistance (AMR) and virulence traits. Most studies are primarily focused on human clinical isolates, leaving critical gaps in understanding non-human reservoirs and cross-species transmission risks.

methodsWe combined large-scale genomic analyses with in vitro and in vivo infection models to characterize the evolutionary dynamics of 2809 K. pneumoniae isolates sourced from 8 host species across 57 countries. We examined the potential for cross-host transmission of K. pneumoniae, explored its AMR and virulence characteristics across different hosts, and evaluated the temporal evolution of AMR and virulence.

resultsHere, we demonstrate that the rise in AMR strongly correlates with the global expansion of multidrug-resistant (MDR) sequence types, while the increase in virulence is partially driven by the acquisition of key virulence loci in certain MDR clones. Population structure analyses show no distinct genetic boundaries between human- and animal-derived strains, strengthening the evidence for cross-species transmission potential.

conclusionsThese findings underscore the urgent need for a One Health approach to address the dual threat of AMR and hypervirulence, providing critical insights to guide global surveillance and public health interventions.

Identifiers

PMID40890500
PMCPMC12402274

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.