Evidence map›Paper›PMID 42125472›Full record

ArticleInfection and drug resistance2026

Clinical Characteristics and Whole-Genome Sequencing Analysis of Carbapenem- and Colistin-Resistant Hypervirulent

Jingwen Zhang, Yanghua Xiao, Feng Nie, Ping Li, Tianxin Xiang

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Article in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Jingwen ZhangJiangxi Provincial Key Laboratory of Prevention and Treatment of Infectious Diseases, Jiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330052 People's Republic of China.ORCID 0009-0004-6311-1661
Yanghua XiaoJiangxi Provincial Key Laboratory of Prevention and Treatment of Infectious Diseases, Jiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330052 People's Republic of China.ORCID 0000-0001-7417-0799
Feng NieJiangxi Provincial Key Laboratory of Prevention and Treatment of Infectious Diseases, Jiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330052 People's Republic of China.
Ping LiJiangxi Provincial Key Laboratory of Prevention and Treatment of Infectious Diseases, Jiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330052 People's Republic of China.
Tianxin XiangJiangxi Provincial Key Laboratory of Prevention and Treatment of Infectious Diseases, Jiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330052 People's Republic of China.ORCID 0009-0007-2638-5518

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colistin‑resistant hypervirulent carbapenem‑resistant Methods: From 2021 to 2024, 326 non-duplicate hv-CRKP isolates were collected from patients with confirmed clinical infections at a tertiary hospital in China. Antimicrobial susceptibility was determined by broth microdilution. Clinical data were retrospectively analyzed, and logistic regression identified risk factors for ColR‑hv‑CRKP infection. Whole‑genome sequencing was performed to characterize molecular characteristics and colistin resistance-associated mutations. Results: Ninety‑two isolates (92/326, 28.22%) were colistin‑resistant by broth microdilutionby. Patients with ColR‑hv‑CRKP infection were more likely to have a history of ICU admission, prolonged hospitalization, and invasive procedures, were more likely to have isolates recovered from sputum specimens, and had more frequent prior exposure to colistin (all P < 0.05). Multivariable analysis identified prior colistin administration (OR = 4.58, 95% CI 2.41-8.69) and sputum specimen source (OR = 2.44, 95% CI 1.35-4.42) as independent risk factors for ColR-hv-CRKP infection. Whole‑genome sequencing revealed that most ColR‑hv‑CRKP isolates belonged to ST11 (90/92, 97.83%), mainly KL64 (52/92, 56.52%) or KL25 (36/92, 39.13%). Carbapenem resistance was primarily mediated by Conclusion: Colistin resistance in hv‑CRKP was mainly associated with

Indexed as

clinical characteristicscolistinKlebsiella pneumoniaeresistancewhole-genome sequencing

Identifiers

PMID42125472
PMCPMC13159750

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