Concurrent interspecies and clonal dissemination of OXA-48 carbapenemase D.M. Arana, D. Saez, P. García-Hierro, V. Bautista, S. Fernández-Romero, M. Ángel de la Cal, J.I. Alós, J. Oteo Clinical Microbiology and Infection Volume 21, Issue 2, Pages 148.e1-148.e4 (February 2015) DOI: 10.1016/j.cmi.2014.07.008 Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions
FIG. 1 Development of outbreak over time (4 months) and patients involved. Continuous blue arrows show the OXA-48-producing enterobacteria isolated in the index case. Discontinuous blue arrows show the OXA-48-producing enterobacteria isolated in the rest of patients. Epidemic OXA-48-producing K. pneumoniae (Kpn) is marked in bold. Continuous black arrows indicate the moment in which the other infected/colonized patients were in contact with the index case. Grey square shows the strains isolated form the same sample. Kpn, Klebsiella pneumoniae; Smar, Serratia marcescens; Eco, Escherichia coli; Cfr, Citrobacter freundii; IC, index case. Clinical Microbiology and Infection 2015 21, 148.e1-148.e4DOI: (10.1016/j.cmi.2014.07.008) Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions