Outbreak of NDM-1– and OXA-181–Producing Klebsiella pneumoniae Bloodstream Infections in a Neonatal Unit, South Africa
Rindidzani E. Magobo, Husna Ismail, Michelle Lowe, Wilhelmina Strasheim, Ruth Mogokotleng, Olga Perovic, Stanford Kwenda, Arshad Ismail, Manala Makua, Abram Bore, Rose Phayane, Harishia Naidoo, Tanya Dennis, Makhosazane Ngobese, Wim Wijnant, Nelesh P. Govender
, and
for Baby GERMS-SA1
Author affiliations: National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Johannesburg, South Africa (R.E. Magobo, H. Ismail, M. Lowe, W. Strasheim, R. Mogokotleng, O. Perovic, S. Kwenda, A. Ismail, N.P. Govender); University of the Witwatersrand, Johannesburg (O. Perovic, N.P. Govender); National Department of Health, Pretoria (M. Makua); Gauteng Provincial Department of Health, Johannesburg (A. Bore); Tembisa Provincial Hospital, Johannesburg (R. Phayane, H. Naidoo, T. Dennis, M. Ngobese, W. Wijnant); University of Cape Town, Cape Town, South Africa (N.P. Govender); University of Exeter, Exeter, UK (N.P. Govender).
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Figure 4
Figure 4. Transmission networks among 22 patients with outbreak-associated blaOXA-181 sequence type 307 (A) and blaNDM-1 sequence type 152 (B) clones of Klebsiella pneumoniae isolated from a neonatal unit during outbreak, South Africa, October 2019–February 2020. Question marks denote missing isolates; numbers along branches indicate number of single-nucleotide polymorphisms between index isolate and other isolates.
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