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Worldwide dissemination of blaKPC gene by novel mobilization platforms in Pseudomonas aeruginosa : a systematic review

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorForero-Hurtado, Daniela
dc.contributor.authorCorredor-Rozo, Zayda Lorena
dc.contributor.authorRuiz-Castellanos, Julián Santiago
dc.contributor.authorMárquez-Ortiz, Ricaurte Alejandro
dc.contributor.authorAbril, Deisy
dc.contributor.authorVanegas, Natasha
dc.contributor.authorLafaurie, Gloria Inés
dc.contributor.authorChambrone, Leandro
dc.contributor.authorEscobar-Pérez, Javier
dc.date.accessioned2026-03-18T12:00:03Z
dc.date.available2026-03-18T12:00:03Z
dc.date.issued2023-04
dc.description.abstractThe dissemination of blaKPC-harboring Pseudomonas aeruginosa (KPC-Pa) is considered a serious public health problem. This study provides an overview of the epidemiology of these isolates to try to elucidate novel mobilization platforms that could contribute to their worldwide spread. A systematic review in PubMed and EMBASE was performed to find articles published up to June 2022. In addition, a search algorithm using NCBI databases was developed to identify sequences that contain possible mobilization platforms. After that, the sequences were filtered and pair-aligned to describe the blaKPC genetic environment. We found 691 KPC-Pa isolates belonging to 41 different sequence types and recovered from 14 countries. Although the blaKPC gene is still mobilized by the transposon Tn4401, the non-Tn4401 elements (NTEKPC) were the most frequent. Our analysis allowed us to identify 25 different NTEKPC, mainly belonging to the NTEKPC-I, and a new type (proposed as IVa) was also observed. This is the first systematic review that consolidates information about the behavior of the blaKPC acquisition in P. aeruginosa and the genetic platforms implied in its successful worldwide spread. Our results show high NTEKPC prevalence in P. aeruginosa and an accelerated dynamic of unrelated clones. All information collected in this review was used to build an interactive online map.eng
dc.identifier.citationForero-Hurtado D, Corredor-Rozo ZL, Ruiz-Castellanos JS, Márquez-Ortiz RA, Abril D, Vanegas N, Lafaurie GI, Chambrone L, Escobar-Pérez J. Worldwide Dissemination of blaKPC Gene by Novel Mobilization Platforms in Pseudomonas aeruginosa: A Systematic Review. Antibiotics. 2023; 12(4):658. https://doi.org/10.3390/antibiotics12040658
dc.identifier.doi10.3390/antibiotics12040658
dc.identifier.issn2079-6382
dc.identifier.urihttp://hdl.handle.net/10400.26/62264
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/antibiotics12040658
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPseudomonas aeruginosa
dc.subjectcarbapenem resistance
dc.subjectKPC
dc.subjectTn4401
dc.subjectNTEKPC
dc.subjectinteractive map
dc.titleWorldwide dissemination of blaKPC gene by novel mobilization platforms in Pseudomonas aeruginosa : a systematic revieweng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.startPage658
oaire.citation.titleAntibiotics
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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