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. 2020 Mar 5;10:4139. doi: 10.1038/s41598-020-60659-2

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Basic characteristics of cases of IMP-6 carbapenemase-producing Enterobacterales and its isolates, Osaka, Japan, June 2013-March 2014, and the timeline of detection. Horizontal lines indicate durations of hospitalization and nodes indicate detection of isolates. Asterisks indicate the cases included in the case-control study. The cases with type A1 plasmid are shown on a background of pink, and the cases with type A2 plasmid are shown on a background of blue. Case 9 was admitted to ward E11 of the Department of Neurosurgery on 20 January and was treated there until 17 February 2014. ICCU: intensive cardiac care unit.