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european dissemination of a single oxa-48-producing klebsiella pneumoniae clone.a klebsiella pneumoniae isolate with decreased susceptibility to carbapenems was isolated in april 2011 in a hospital in amsterdam (the netherlands) and later found to be the source of an important outbreak in a rotterdam hospital. the strain, belonging to sequence type (st) 395, carried the bla(oxa-48) gene located onto a c 62-kb conjugative plasmid, together with the extended-spectrum β-lactamase gene bla(ctx-m-15) . it was closely related or identical to other oxa-48-positive klebsiella pneum ...201121973185
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