Acta microbiologica et immunologica Hungarica最新文献

{"title":"Resurgence of pertussis in Slovak Republic and surrounding Central European countries.","authors":"Martina Neuschlova, Peter Kunc, Renata Pecova","doi":"10.1556/030.2025.02654","DOIUrl":"10.1556/030.2025.02654","url":null,"abstract":"<p><p>Bordetella pertussis, the pathogen responsible for a highly contagious respiratory disease, utilizes a broad spectrum of virulence factors that results in subacute or chronic cough.We conducted an analysis of pertussis incidence and reported cases in the European region from 2000 to 2024. We analyzed the potential factors contributing to the rise in pertussis incidence despite high vaccination rates.In 2024, the Slovak Republic and surrounding Central European countries (the Czech Republic, Austria, Hungary, Poland, and Ukraine) have seen a significant increase in pertussis incidence. The results of this study suggest that the resurgence of pertussis was likely due to multiple interacting factors including waning immunity in adults, the genomic changes of B. pertussis, the \"immune debt\" phenomenon following the lifting of COVID-19 restrictions, the lower vaccination rate against pertussis due to refusal to be vaccinated, a shorter duration of protection offered by acellular vaccines, the transmission of B. pertussis from asymptomatic individuals or patients with mild infection to pertussis-susceptible individuals, as well as improved diagnostics and surveillance.Unimmunised or partially immunised infants are at the highest risk of severe pertussis. The most common sources of infection are family members with asymptomatic or mildly symptomatic disease. All patients with chronic cough should be tested for B. pertussis as part of a comprehensive diagnostic evaluation. To protect newborns, booster vaccination of parents, close family contacts and certain healthcare professionals carrying for the youngest children is recommended. This strategy helps to create a protective environment around infants in the period of pertussis resurgence.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"248-255"},"PeriodicalIF":1.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute peritoneal propagation of alveolar echinococcosis in a 12-year-old child.","authors":"Kinga Karolina Kardics, Krisztina Kalocsai, Attila Kálmán, Tamás Benkő, Tímea Seszták, Attila József Szabó, Judit Halász, Erika Orosz, József Danka, Tamás Sréter, Balázs Dezsényi","doi":"10.1556/030.2025.02504","DOIUrl":"10.1556/030.2025.02504","url":null,"abstract":"<p><p>Herein we present a case of a 12-year-old child with acute symptoms (abdominal pain, fever). Preliminary imaging suggested pyogenic liver abscess. Despite the broad-spectrum antibiotic therapy, which was started after hospital admission, no improvement was perceived. Rising eosinophilia and multiplex focal lesions detected by ultrasound and MRI forced serological investigation by which Echinococcus granulosus s.l. seropositivity was detected. Antihelminthic therapy was initiated and upon multidisciplinary consultation surgical intervention was performed with the removal of a cystic lesion which ruptured to the peritoneal cavity. Histopathological and parasitological analysis finally verified alveolar echinococcosis (AE) caused by Echinococcus multilocularis. As the evacuation of one lesion cannot be regarded as curative intervention in this form of echinococcosis, albendazole was administered continuously until patient's medical condition improved and no progression was detected during imaging follow-up. In Hungary both cystic and alveolar echinococcosis are present therefore differential diagnosis of these two forms can be a clinical challenge. Slow rate of progression, long lasting asymptomatic period and relatively low incidence of AE disease can explain that cases during childhood are rarely identified. After reviewing all relevant literature in this topic, we present here the first pediatric AE case in Hungary.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"280-286"},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shifting molecular epidemiology of carbapenem-resistant Klebsiella pneumoniae in a regional Greek hospital: Department-specific trends and national context (2022-2024).","authors":"Pandora Tsolakidou, Georgios Tsikrikonis, Kontantina Tsaprouni, Martha Souplioti, Eumorfia Sxoina","doi":"10.1556/030.2025.02655","DOIUrl":"10.1556/030.2025.02655","url":null,"abstract":"<p><p>Carbapenem-resistant Klebsiella pneumoniae (CRKP) poses a growing threat in Greek hospitals, with increasing reports of multidrug- and pandrug-resistant strains; however, molecular data from regional centers remain limited. This study aimed to investigate the molecular epidemiology, resistance mechanisms, and transmission dynamics of CRKP isolates collected at the General Hospital of Volos, Central Greece, between 2022 and 2024. Thirty-seven non-duplicate CRKP isolates were analyzed. Identification and antibiotic susceptibility testing were performed using VITEK® 2, disk diffusion, Etest®, and broth microdilution. Carbapenemase production was assessed using the NG-Test® Carba-5. Eight isolates underwent multilocus sequence typing (MLST). All isolates were resistant to carbapenems, cephalosporins, and fluoroquinolones; furthermore, 40% were colistin-resistant. The dominant carbapenemase genes were blaNDM-1 (45.9%), blaKPC-2 (18.9%), and blaVIM-1 (27.0%), with co-expression of multiple carbapenemases in 30% of the isolates. MLST revealed the high-risk clones ST11, ST15, and ST323, and three intra-intensive care unit (ICU) transmission clusters. The emergence of dual-carbapenemase and colistin-resistant clones underscores the need for local genomic surveillance, improved infection control, and access to newer antimicrobials in non-tertiary settings.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"212-219"},"PeriodicalIF":1.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Molecular detection of virulence genes and antimicrobial resistance in Salmonella isolates from avian and human sources in northeastern Algeria.","authors":"Amira Kout, Radia Boufermes, Rachid Elgroud, Bariş Binay, Douadi Khelifi, Hajira Berredjem","doi":"10.1556/030.2025.02627","DOIUrl":"10.1556/030.2025.02627","url":null,"abstract":"<p><p>Products of avian origin are one of the major Salmonella reservoirs, responsible for serious public health concerns. Transmission and pathogenicity are mainly caused by molecular mechanisms, including chromosomal and plasmid-encoded virulence factors. This study aimed to perform phenotypic identification, antibiotic resistance profiling against 15 antibiotics, and characterization of virulence factors of 80 Salmonella strains (30 from human and 50 from poultry), collected in Annaba and Constantine regions in Algeria.Antibiogram analysis and simplex PCR revealed complete resistance to four antibiotics: Ampicillin, Penicillin, Cephalotin and Cephoxetin. In addition, four virulence genes (spvA, spiC, spvC and pefA) were detected. These genes were identified in isolates from both avian and human origins, with variations in their distrubition frequencies. This study highlights the significant role of avian-derived Salmonella as a reservoir of antibiotic resistance and virulence genes, posing a serious threat to public health.Antibiotic resistance profiling revealed that avian isolates exhibited complete resistance (100%) to ampicillin, penicillin and cephalothin, followed by a high resistance rate of 98% to cefalexin and ceftriaxone. Moderate resistance levels, ranging from 76% to 46%, were observed against streptomycin, tetracycline, trimethoprim-sulfamethoxazole, ciprofloxacin, kanamycin and nalidixic acid. In contrast, low resistance rates were reported for gentamicin, amikacin, and chloramphenicol, at 20%, 18%, and 16%, respectively.On the other hand, human isolates showed complete resistance (100%) to ampicillin, penicillin, cephalothin and cefalexin. Moderate resistance (76%-46%) was observed against ceftriaxone, kanamycin, cefotaxime, gentamicin, trimethoprim-sulfamethoxazole, nalidixic acid, streptomycin, and chloramphenicol. Low resistance levels were detected for tetracycline, ciprofloxacin, and amikacin, at 26%, 20%, and 6.6%, respectively.These findings along with the widespread presence of virulence genes (spvA, spiC, spvC, and pefA) in both human and poultry isolates, underscore the potential for cross-species transmission and the urgent need for enhanced surveillance. The regional findings from Annaba and Constantine emphasize the importance of stricter antibiotic use policies in poultry farming.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"261-271"},"PeriodicalIF":1.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High prevalence of carbapenem-resistant Escherichia coli ST410 from clinical isolates in Weifang, China.","authors":"Ying Gao, Xicai Sun, Honggang Wang","doi":"10.1556/030.2025.02624","DOIUrl":"10.1556/030.2025.02624","url":null,"abstract":"<p><p>The objective of our work is to identify antimicrobial-resistance genes and to analyze clonality of carbapenem-resistant Escherichia coli. A total of 75 carbapenem-resistant E. coli (CREco) strains were isolated in a Chinese hospital from January 2021 to May 2023. The antibiotic susceptibility testing was conducted by BD PhoenixTM M50 System and Kirby-Bauer disk diffusion method. Whole-genome sequencing was performed on Illumina NovaSeq 6000 platform. Antimicrobial resistance genes were identified based on NCBI with ABRicate 0.8. Multilocus sequence typing (MLST) analysis for CREco was performed. Among the 75 CREco strains in this study, the most of them were isolated from urine samples (n = 20, 26.67%) at the intensive care unit (n = 14, 18.67%). Among the detected carbapenem resistance genes, blaNDM-5 was the most prevalent (n = 57, 76.00%), followed by blaNDM-4 (n = 3, 4.00%), blaNDM-9 (n = 3, 4.00%), and blaNDM-1 (n = 2, 2.67%). In addition, the colistin resistance gene mcr-1.1 (n = 11, 14.67%) and the tigecycline resistance gene tetX4 (n = 2, 2.67%) were also detected. The results of MLST revealed 25 sequence types (STs), and ST410 (n = 17) was the dominant clone. Other major STs included ST167 (n = 12), ST156 (n = 10), ST361 (n = 5), and ST101 (n = 4). Overall, CREco strains exhibited a high-level resistance rate to commonly used antimicrobial agents, and the most of them carried various NDM-coding genes, with blaNDM-5 being the predominant type. In this study, we demonstrated the diversity of carbapenem-resistant E. coli; however, the major clone was ST410. These results also show the dissemination of different clones of carbapenem-resistant E. coli.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"99-105"},"PeriodicalIF":1.3,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of ESKAPE pathogens in clinical isolates in a tertiary care hospital in China from 2018 to 2023.","authors":"Limin Zou, Jing Leng, Weiya Gao, Wenjun Zhou, Xiajun Zhang","doi":"10.1556/030.2025.02612","DOIUrl":"10.1556/030.2025.02612","url":null,"abstract":"<p><p>The widespread use of antimicrobial agents correlated with the increasing incidence of nosocomial infections and bacterial antibiotic resistance. These have become major challenges in the prevention and control of hospital-acquired infections worldwide. The aims of this study were to analyze the distribution and characteristics of ESKAPE pathogenic bacteria and their antibiotic resistance profile among clinical isolates from a tertiary hospital in China from 2018 to 2023. The results showed that a total of 20,472 non-duplicated pathogenic bacteria were isolated from clinical specimens in this hospital between 2018 and 2023, of which the top five pathogenic bacteria were Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, and Acinetobacter baumannii. In case of E. coli the main detected resistance genes were blaCTX-M, blaTEM and blaOXA. K. pneumoniae mainly carried blaOXA, blaKPC and blaNDM genes. P. aeruginosa was mainly positive for blaOXA, AmpC type beta-lactamases and blaVIM genes. A. baumannii mainly carried ArmA, blaTEM and cas3 genes. S. aureus was mainly positive for mecA, erm(C) and erm(A) genes. In this study, we have found that the antibiotic resistance of common pathogens from clinical isolates in a tertiary hospital in China in the past 6 years is severe, and A. baumannii was particularly a prominent pathogen. There is an urgent need to strengthen the prevention and control of nosocomial infections and antimicrobial drug management in order to curb the spread of multidrug-resistant bacteria.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"127-138"},"PeriodicalIF":1.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Candida auris infections in an intensive care unit: Antifungal resistance, mortality rates and infection control interventions.","authors":"Semiha Solak Grassie, Nilgün Karabıçak, Tuğçe Ünalan Altıntop","doi":"10.1556/030.2025.02615","DOIUrl":"10.1556/030.2025.02615","url":null,"abstract":"<p><p>Candida auris spreads rapidly and causes outbreaks worldwide. Strict infection control is critical to control its spread; however, it is challenging and requires a special approach. This study aims to investigate the colonization and infection of C. auris in intensive care units (ICUs), analyses its susceptibility, and mortality rates, and contributes to an effective infection control.An infection control study was planned, and a C. auris infection control bundle and checklist were developed. During the study's pre-intervention, intervention, and post-intervention periods, C. auris candidemia cases and colonized patients were identified. Until the infection control intervention, all the candidemia cases, antifungal resistance, and mortality were investigated retrospectively. Clinical isolates were identified by phenotypic and genotypic characterization using MALDI-TOF MS Biotyper (Bruker Daltonics, Bremen, Germany) and sequencing.During the pre-intervention, intervention, and post-intervention periods, 26 C. auris cases were identified. Pan-resistant C. auris isolates were 3.84%, and the multidrug resistance was 65.38%. With the infection control intervention, the number of colonized patients decreased (pre-intervention 9.61‰, intervention 6.19‰, post-intervention 5.20‰). Candidemia incidence decreased from 4.09 to 2.3‰. No new cases of candidemia were observed at the end of the study.The risk of new cases is elevated in the rooms where multiple C. auris cases have been previously isolated. Mortality rate was high; namely, 76.92% of patients died, and 19.23% of strains were resistant to anidulofungin, one of the most commonly used antifungals. Despite the short implementation period, the infection control bundle and checklist have been demonstrated to be effective in controlling C. auris spread in the ICU.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"164-170"},"PeriodicalIF":1.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diversity of carbapenemase genes among carbapenem resistant Klebsiella pneumoniae in a tertiary care hospital in Bangkok, Thailand.","authors":"Anchalee Homkaew, Thanwa Wongsuk, Siriphan Boonsilp, Jutturong Ckumdee, Padungsri Dubbs, Prasit Palittapongarnpim","doi":"10.1556/030.2025.02599","DOIUrl":"10.1556/030.2025.02599","url":null,"abstract":"<p><p>Multidrug resistant (MDR) gram-negative bacilli associated with hospital-acquired infections are commonly resistant to carbapenems. Klebsiella pneumoniae is a common MDR Enterobacterales in Thailand. In this study, we investigated the distribution of five carbapenemase genes (blaNDM, blaOXA-48, blaIMP, blaVIM, and blaKPC) among 62 carbapenem resistant K. pneumoniae (CRKP) collected in 2022 from patients admitted to a tertiary care hospital in Bangkok. The frequencies of isolates carrying a single carbapenamase gene were 39% for blaOXA-48 and 19% for blaNDM. Interestingly the frequency of the carriers of both genes was as high as 29% and none of the isolates carried blaKPC, commonly reported elsewhere. The studied genes were not identified in 7 isolates (11%). CRKP carrying blaNDM was more frequently identified in medical wards, associated with higher mortality rate and 100% resistant to ceftazidime/avibactam while the one carrying only blaOXA-48 was 92% susceptible to ceftazidime/avibactam. This study confirms the advantage of molecular methods for differentiating between mechanisms of carbapenem resistance in K. pneumoniae.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"119-126"},"PeriodicalIF":1.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, antibiotic resistance and molecular characterization of virulence factors of Helicobacter pylori strains isolated from patients with dyspepsia.","authors":"Elif Aydın, Ayten Nur Uzun, Duygu Perçin Renders, Aysun Çalışkan Kartal, Süleyman Coşgun","doi":"10.1556/030.2025.02572","DOIUrl":"10.1556/030.2025.02572","url":null,"abstract":"<p><p>Helicobacter pylori is a major pathogen infecting over half of the global population, causing conditions like gastritis, ulcers, gastric cancer, and lymphoid tissue lymphoma. This study investigated the prevalence of H. pylori in 100 gastric biopsy samples from patients with dyspepsia and analyzed antibiotic resistance and virulence genes (cagA, vacA, iceA, and babA) using polymerase chain reaction (PCR). Diagnosis was performed via PCR, culture, rapid urease test, and histopathological examination, with antibiotic susceptibility assessed through the E-test method.The study was conducted between September 2022 and February 2023. The study found that 34% of samples were PCR-positive for H. pylori, while culture, histology examination, and rapid urease test showed positivity rates of 23%, 53%, and 63%, respectively. Alarmingly, antibiotic resistance was prevalent, with 100% resistance to clarithromycin and metronidazole, 39.1% to tetracycline, and 34.8% to levofloxacin. Virulence gene analysis revealed high positivity rates: cagA (53%), babA (29%), iceA1 (20.6%), iceA2 (41.2%), and vacA (97.1%), with the vacA s1m2 allele variant being most common (55.8%).These findings underscore the significant role of virulence factors like cagA and vacA in H. pylori pathogenesis and the severity of related diseases. The study highlights the urgent need for routine antimicrobial susceptibility testing to guide treatment amidst escalating antibiotic resistance. It also emphasizes the value of molecular diagnostics, such as PCR, for accurate and rapid detection of H. pylori and its virulence determinants. These insights are critical for improving the management of H. pylori-associated diseases and combating antibiotic resistance globally.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"153-163"},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of different carbapenemases and clonality analysis of carbapenem-resistant Enterobacter cloacae.","authors":"Yugang Wang, Xicai Sun, Honggang Wang","doi":"10.1556/030.2025.02604","DOIUrl":"10.1556/030.2025.02604","url":null,"abstract":"<p><p>To identify antibiotic resistant genes and assess the clonality of carbapenem-resistant Enterobacter cloacae (CRECL) isolates from a hospital setting, altogether fifty-two clinical CRECL isolates were collected from 2012 to 2023. Antibiotic resistance genes including blaNDM, blaVIM, blaIMP, blaOXA-48, blaCTX-M-1 and blaTEM, were analyzed by PCR and nucleic acid sequencing. Sequence data were compared with those in the National Center for Biotechnology Information database. Clonality analysis was performed by ERIC-PCR. Among the 52 isolates, urine samples (23.1%) were the most common source, followed by puncture fluid (13.5%). The isolates were predominately obtained from urology (15.4%), followed by hepatobiliary surgery (11.5%). All isolates exhibited carbapenem resistance, with resistance rates of 88.5%, 84.6%, and 94.2% to imipenem, meropenem, and ertapenem, respectively. This was frequently accompanied by co-resistance to fluoroquinolones (67.2% to ciprofloxacin) and aminoglycosides (61.5% to tobramycin), likely due to the co-existence of multiple resistance genes on mobile genetic elements such as plasmids. However, all isolates remained sensitive to polymyxins, 67.2% to tigecycline and 50% to amikacin. Several carbapenem resistance genes were detected in isolates, with blaNDM-1 being the most abundant (40.4%), followed by blaNDM-5 (21.2%). Additionally, blaOXA-48 (3.8%), blaIMP-6 (1.9%) and blaVIM-1 gene (1.9%) have also been found in a few isolates. Among β-lactam resistance genes, blaTEM-1 (42.3%) is the most prevalent, followed by blaCTX-M-1 gene (23.1%). Clonality analysis classified the isolates into five clusters (A-E). Multiple strains exhibited >86% similarity, indicating clonal spread. In conclusion, CRECL isolates demonstrated extensive antimicrobial resistance, primarily mediated by blaNDM-1 and blaTEM. Clonality analysis revealed the presence of clonally related strains across different hospital departments, suggesting potential nosocomial transmission. Enhanced surveillance, strict disinfection and isolation measures are necessary to prevent the spread of CRECL and mitigate nosocomial infections and dissemination of epidemics.</p>","PeriodicalId":7119,"journal":{"name":"Acta microbiologica et immunologica Hungarica","volume":" ","pages":"113-118"},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}