Evidence map›Paper›PMID 41287044›Full record

ArticleBMC microbiology2025

Epidemiology and genomic characteristics of carbapenem-resistant Klebsiella pneumoniae in intensive care unit from 2021 to 2024.

Zheng Ma, Li Mo, Chunhong Li, Jihua Hu, Wenyu Zheng, Shaohui Zeng, Bohai Yu, Shuo Jiang

Abstract read
In one paragraph

Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

8 authors.

Zheng MaShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Li MoShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Chunhong LiShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Jihua HuShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Wenyu ZhengShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Shaohui ZengShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Bohai YuShenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China. yubohai@sohu.com.
Shuo JiangAgricultural Genomics Institute at Shenzhen, Chinese Academy of Agricultural Sciences, Shenzhen, China. jason17@connect.hku.hk.

Funding

the Futian District Science and Technology Innovation Research Project FTWS2021017the Futian District Science and Technology Innovation Research Project FTWS2023019
6 · The paper itself

Abstract

purposeThe primary aim of this research was to elucidate the clinical epidemiology and genetic traits of carbapenem-resistant Klebsiella pneumoniae (CRKP) infection and colonization within the intensive care unit (ICU) of a tertiary care teaching hospital in China, spanning the period from 2021 to 2024.

methodsAll CRKP isolates were obtained from patients in the ICU, and relevant clinical data pertaining to these patients were collected. The whole genome sequencing was conducted for all isolates, followed by downstream genomic analyses.

resultsThe study identified 29 non-duplicate CRKP strains, completely isolated from ICU, with sputum as the most common anal swab sample. Patients with factors including a prior ICU stay, use of a central venous catheter and antibiotic treatment were found to be associated with CRKP infection. Our collected CRKP isolates demonstrated multidrug resistance, with additional resistance to cephalosporins. Further virulence assays revealed that these isolates exhibited strong serum survival capabilities despite lacking the mucoid phenotype. Molecular epidemiology indicated that all strains harbored the blaKPC-2 gene and belonged to the KL64-O2v1 serotype. Although all isolates lacked the regulator of mucoid phenotype (rmpA) gene, they carried the colibactin (clb) and yersiniabactin (ybt) genes. These findings suggest a complex interplay between resistance and virulence factors that contribute to the pathogenicity of these CRKP strains.

conclusionThis study provided insights into the molecular epidemiology of CRKP within ICUs from 2021 to 2024, identifying potential factors associated with CRKP infections. Our findings underscore the critical importance of monitoring CRKP and implementing robust antimicrobial stewardship programs to limit the spread of CRKP infections.

Indexed as

Carbapenem-Resistant EnterobacteriaceaeCarbapenemsKlebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesChinaDrug Resistance, Multiple, BacterialGenome, BacterialHumansIntensive Care UnitsMicrobial Sensitivity TestsMolecular EpidemiologyWhole Genome SequencingAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesCarbapenemsCarbapenem-resistant Klebsiella pneumoniaIntensive care unitMolecular epidemiology

Identifiers

PMID41287044
PMCPMC12642057

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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.