TY - JOUR AU - Mendes, Ana Constança AU - Novais, Ângela AU - Campos, Joana AU - Rodrigues, Carla AU - Santos, Cláudia AU - Antunes, Patrícia AU - Ramos, Helena AU - Peixe, Luísa T1 - mcr-1 in Carbapenemase-Producing Klebsiella pneumoniae with Hospitalized Patients, Portugal, 2016–2017 T2 - Emerging Infectious Disease journal PY - 2018 VL - 24 IS - 4 SP - 762 SN - 1080-6059 AB - We describe a hospital-based outbreak caused by multidrug-resistant, Klebsiella pneumoniae carbapenemase 3–producing, mcr-1–positive K. pneumoniae sequence type 45 in Portugal. mcr-1 was located in an IncX4 plasmid. Our data highlight the urgent need for systematic surveillance of mcr-1 to support adequate therapeutic choices in the nosocomial setting. KW - plasmid-mediated colistin resistance KW - mcr KW - carbapenem KW - multidrug resistance KW - colonization KW - outbreak KW - Portugal KW - mcr-1 KW - bacteria KW - Klebsiella pneumonia KW - antimicrobial resistance KW - ST45 KW - IncX4 KW - nosocomial infection KW - Klebsiella pneumoniae DO - 10.3201/eid2404.171787 UR - https://wwwnc.cdc.gov/eid/article/24/4/17-1787_article ER - End of Reference