Richael O Mills, Isaac Dadzie, Thanh Le-Viet, David J Baker, Humphrey P K Addy, Samuel A Akwetey, Irene E Donkoh, Elvis Quansah, Prince S Semanshia, Jennifer Morgan, Abraham Mensah, Nana E Adade, Emmanuel O Ampah, Emmanuel Owusu, Philimon Mwintige, Eric O Amoako, Anton Spadar, Kathryn E Holt, Ebenezer Foster-Nyarko
OBJECTIVES: Comprehensive data on the genomic epidemiology of hospital-associated Klebsiella pneumoniae in Ghana are scarce. This study investigated the genomic diversity, antimicrobial resistance patterns, and clonal relationships of 103 clinical K. pneumoniae isolates from five tertiary hospitals in Southern Ghana-predominantly from paediatric patients aged under 5 years (67/103; 65%), with the majority collected from urine (32/103; 31%) and blood (25/103; 24%) cultures. METHODS: We generated hybrid Nanopore-Illumina assemblies and employed Pathogenwatch for genotyping via Kaptive [capsular (K) locus and lipopolysaccharide (O) antigens] and Kleborate (antimicrobial resistance and hypervirulence) and determined clonal relationships using core-genome MLST (cgMLST)...
May 16, 2024: Journal of Antimicrobial Chemotherapy