Table 5.
Comparison between Carba-Screen results and NGS resistome analysis related to K. pneumoniae (Kp) isolates.
Realquality carbascreen screening (1° level) | Realquality carbascreen identification (2° level) | NGS (resistome analysis related to β-lactams resistance) | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Class B | Class A + D | Acinetobacter OXA | Carba B | Carba A + D | |||||||||||||||||||||||
Strain | Carbapenem-resistant phenotype | Identification | MLST | k-locus | o-locus | NDM | VIM | IMP | KPC | OXA-48 | mcr | blaNDM | blaKPC | blaSHV | blaCTX | blaTEM | blaOXA | LamB mutants | ompK35/36/37 mutants | ||||||||
Kp 229 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Positive | Negative | blaNDM | Negative | Negative | blaKPC | Negative | Negative | NDM-1 | SHV-187 | CTX-M-15 | OXA-1 | Yes | Yes (ompK36, ompK37) | |||||||
Kp 322 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Positive | Negative | blaNDM | Negative | Negative | blaKPC | Negative | Negative | NDM-1 | SHV-187 | CTX-M-15 | OXA-1 | Yes | Yes (ompK36, ompK37) | |||||||
Kp 326 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Positive | Negative | blaNDM | Negative | Negative | blaKPC | Negative | Negative | NDM-1 | SHV-61 | SHV-152 | CTX-M-15 | OXA-1 | Yes | Yes (ompK36, ompK37) | ||||||
Kp 233 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Negative | blaNDM | Negative | Negative | Negative | Negative | Negative | NDM-1 | SHV-187 | CTX-M-15 | OXA-1 | Yes | Yes (ompK36, ompK37) | |||||||
Kp 236 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Negative | blaNDM | Negative | Negative | Negative | Negative | Negative | NDM-1 | SHV-187 | CTX-M-15 | OXA-1 | Yes | Yes (ompK36, ompK37) | |||||||
Kp 273 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Positive | blaNDM | Negative | Negative | Negative | Negative | Negative | NDM-1 | CTX-M-15 | TEM-181 | OXA-1 | No | No | |||||||
Kp 304 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Positive | blaNDM | Negative | Negative | Negative | Negative | Negative | NDM-1 | CTX-M-15 | TEM-122 | OXA-1 | No | Yes (ompK36) | |||||||
Kp 281 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Positive | blaNDM | Negative | Negative | Negative | Negative | Negative | NDM-1 | CTX-M-15 | TEM-181 | OXA-1 | Yes | Yes (ompK36) | |||||||
Kp 267 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Positive | blaNDM | Negative | Negative | Negative | Negative | Negative | NDM-1 | SHV-152 | CTX-M-15 | TEM-181 | OXA-1 | Yes | Yes (ompK35) | ||||||
Kp 300 | Positive | K. pneumoniae | ST395 | 2 | O1/O2v1 | Positive | Negative | Positive | blaNDM | blaVIM | Negative | Negative | Negative | Negative | NDM-1 | CTX-M-15 | TEM-181 | OXA-1 | Yes | Yes (ompK36) | |||||||
Kp 234 | Positive | K. pneumoniae | ST17 | 25 | O5 | Positive | Positive | Negative | Negative | blaVIM | Negative | blaKPC | Negative | Negative | OXA-9 | No | Yes (ompK37) | ||||||||||
Kp 241 | Positive | K. pneumoniae | ST17 | 25 | O5 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-61 | SHV-152 | SHV-187 | OXA-9 | No | No | ||||||
Kp 325 | Positive | K. pneumoniae | ST17 | 25 | O5 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-152 | TEM-181 | Yes | Yes (ompK36) | ||||||||
Kp 324 | Positive | K. pneumoniae | ST17 | 25 | O5 | Positive | Positive | Negative | Negative | blaVIM | Negative | blaKPC | Negative | Negative | KPC-3 | TEM-181 | TEM-122 | OXA-9 | No | Yes (ompK37) | |||||||
Kp 323 | Positive | K. pneumoniae | ST17 | 25 | O5 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-187 | TEM-181 | OXA-9 | No | Yes (ompK36) | |||||||
Kp 209 | Positive | K. pneumoniae | ST101 | 17 | O1/O2v1 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-187 | SHV-212 | No | Yes (ompK36, ompK37) | ||||||||
Kp 244 | Positive | K. pneumoniae | ST101 | 17 | O1/O2v1 | Positive | Positive | Negative | blaNDM | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-187 | SHV-212 | Yes | Yes (ompK36, ompK37) | ||||||||
Kp 230 | Positive | K. pneumoniae | ST101 | 17 | O1/O2v1 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-187 | SHV-212 | No | Yes (ompK36) | ||||||||
Kp 312 | Positive | K. pneumoniae | ST101 | 17 | O1/O2v1 | Negative | Positive | Positive | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | TEM-181 | OXA-9 | No | No | ||||||||
Kp 316 | Positive | K. pneumoniae | ST307 | 102 | O1/O2v2 | Negative | Positive | Positive | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | TEM-181 | OXA-1 | No | No | ||||||||
Kp 341 | Positive | K. pneumoniae | ST307 | 102 | O1/O2v2 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | CTX-M-15 | TEM-122 | OXA-1 | OXA-9 | No | No | ||||||
Kp 285 | Positive | K. pneumoniae | ST307 | 102 | O1/O2v2 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | CTX-M-15 | TEM-181 | TEM-122 | OXA-1 | OXA-9 | No | No | |||||
Kp 327 | Positive | K. pneumoniae | ST46 | 64 | O1/O2v1 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | No | Yes (ompK37) | ||||||||||
Kp 248 | Positive | K. pneumoniae | ST46 | 64 | O1/O2v1 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-61 | SHV-152 | TEM-181 | OXA-9 | No | Yes (ompK36, ompK37) | ||||||
Kp 232 | Positive | K. pneumoniae | ST35 | 22 | O1/O2v1 | Negative | Positive | Negative | Negative | Negative | Negative | blaKPC | Negative | Negative | KPC-3 | SHV-187 | TEM-181 | No | Yes (ompK36, ompK37) |