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Tatiana Bogdanovich, Jennifer M. Adams-Haduch, Guo-Bao Tian, Minh Hong Nguyen, Eun Jeong Kwak, Carlene A. Muto, Yohei Doi, Colistin-Resistant, Klebsiella pneumoniae Carbapenemase (KPC)–Producing Klebsiella pneumoniae Belonging to the International Epidemic Clone ST258, Clinical Infectious Diseases, Volume 53, Issue 4, 15 August 2011, Pages 373–376, https://doi.org/10.1093/cid/cir401
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Abstract
Five cases of infection due to colistin-resistant, Klebsiella pneumoniae carbapenemase–producing K. pneumoniae belonging to the international epidemic clone ST258 occurred over a 4-month period. These cases likely represented both emergence of resistance and transmission of resistant organism. The colistin-resistant isolates were able to persist in the absence of selective pressure in vitro.