Emergence of New Non–Clonal Group 258 High-Risk Clones among Klebsiella pneumoniae Carbapenemase–Producing K. pneumoniae Isolates, France
Rémy A. Bonnin, Agnès B. Jousset, Adriana Chiarelli, Cécile Emeraud, Philippe Glaser, Thierry Naas, and Laurent Dortet
Author affiliations: Institut Pasteur–Assistance Publique/Hôpitaux de Paris–University Paris Sud, Paris, France (R.A. Bonnin, A.B. Jousset, A. Chiarelli, C. Emeraud, T. Naas, L. Dortet); Faculty of Medicine University Paris-Sud, University Paris–Saclay, Le Kremlin-Bicêtre, France (R.A. Bonnin, A.B. Jousset, C. Emeraud, T. Naas, L. Dortet); National Reference Center for Antibiotic Resistance: Carbapenemase Producing Enterobacteriaceae, Le Kremlin-Bicêtre, (R.A. Bonnin, A.B. Jousset, C. Emeraud, T. Naas, L. Dortet); Assistance Publique/Hôpitaux de Paris, Bicêtre Hospital, Le Kremlin-Bicêtre (A.B. Jousset, C. Emeraud, T. Naas, L. Dortet)
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Figure 2
Figure 2. Phylogenetic analysis of Klebsiella pneumoniae carbapenemase–producing K. pneumoniae isolates, France, 2018. STs are indicated on the branches of the tree. Colored circles, triangles, or pentagons indicate carbapenemase type. Colored rectangles indicate region where isolates were recovered, as indicated on inset map; numbers on map indicate number of isolates. Genetic context indicated by isoform of Tn4401 or NTE. Labels indicate links with foreign countries. Scale bar on tree indicates the number of single-nucleotide polymorpisms per position of common sequences. NTE, non-Tn4401 element; ST, sequence type.
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