Background: The spread of carbapenem-resistant (CRE) strains has caused treatment failure and is a worldwide threat to public health. However, there are limited reports on the prevalence of carbapenemase-producing (CPE) in aquatic environments and its association with clinical isolates. This study aimed to investigate the prevalence of CPE in a stream environment and its genetic relationship with clinical isolates in Korea.

Methods: A total of 4,582 water samples were collected from 94 streams. Multiplex PCR and sequencing were used to detect and identify six carbapenemase genes. Multi-locus sequence typing (MLST) was performed to investigate the genetic relatedness between the environmental strains and clinical isolates.

Results: A total of 133 CRE strains were isolated from the streams. was the most common CRE (45.9%), followed by complex (29.3%), (13.5%), (5.3%), and (2.3%). Ninety (67.7%) isolates carried carbapenemase genes. carbapenemase-2 (36.7%) and New Delhi metallo-β-lactamase-5 (32.2%) were the common carbapenemases detected. Sequence type (ST)307 and ST11 strains harboring the gene were the most prevalent in stream and patient samples.

Conclusion: CPE was highly prevalent in streams and closely related to the isolates obtained from patients. Therefore, continuous monitoring of stream environments is required to control the spread of carbapenem resistance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9218686PMC
http://dx.doi.org/10.3389/fmicb.2022.923979DOI Listing

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