Thread by @JenniferSpicer4

#EmoryID discussing this article at #TwitterIDJC tonight

Wish ⁦@CarlosdelRio7⁩ was here to join in with the tweeting

Epidemic of carbapenem-resistant Klebsiella pneumoniae in Europe is driven by nosocomial spread | Nature Microbiology nature.com/articles/s4156…

As compared to other resistance mechanisms for Klebsiella pneumoniae, strains with carbapenamases were more likely to have their “genetic nearest neighbor” within the same hospital, suggesting they are more likely spread within single hospitals.
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Over half of the hospitals that submitted isolates likely had within-hospital transmission
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One point brought up by our group is that the study did not look at community strains, so it’s possible these strains are in the nearby community but not necessarily being spread just in the hospital.
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Starting a new thread for our discussion of the clinical article

Another criticism about this article is that it plays down the “One Health” model of taking into acccount environmental spread of carbapenamase-resistant organisms