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Klebsiella species: Taxonomy, hypervirulence and multidrug resistance

Open access
Dong, Ning, Yang, Xuemei, Chan, Edward Wai-Chi, Zhang, Rong, Chen, Sheng·2022·eBioMedicine

Abstract

Members of the genus Klebsiella have rapidly evolved within the past decade, generating organisms that simultaneously exhibit both multidrug resistance and hypervirulence (MDR-hv) phenotypes; such organisms are associated with severe hospital- and community-acquired infections. Carbapenem-resistant infections with unknown optimal treatment regime were of particular concern among the MDR-hv Klebsiella strains. Recent studies have revealed the molecular features and the mobile resistance elements they harbour, allowing identification of genetic loci responsible for transmission, stable inheritance, and expression of mobile resistance or virulence-encoding elements that confer the new phenotypic characteristics of MDR-hv Klebsiella spp. Here, we provide a comprehensive review on the taxonomic position, species composition and different phylotypes of Klebsiella spp., describing the diversity and worldwide distribution of the MDR-hv clones, the genetic mutation and horizontal gene transfer events that drive the evolution of such clones, and the potential impact of MDR-hv infections on human health.

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Metadata

Authors
Dong, N., Yang, X., Chan, E. W.-C., Zhang, R., & Chen, S.
Venue
eBioMedicine
Publisher
Elsevier BV
Published
2022-05
Volume
79
Pages
103998
ISSN
2352-3964 (ISSN-L)
OpenAlex
W4223610939
Cited by
313
References
62
FWCI
17.34
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Klebsiella species: Taxonomy, hypervirulence and multidrug resistance. https://app.cochat.ai/papers/10.1016/j.ebiom.2022.103998
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Dong, N., Yang, X., Chan, E. W.-C., Zhang, R., & Chen, S. (2022). Klebsiella species: Taxonomy, hypervirulence and multidrug resistance. eBioMedicine. https://doi.org/10.1016/j.ebiom.2022.103998

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