FN Archimer Export Format PT J TI Limited Transmission of Klebsiella pneumoniae among Humans, Animals, and the Environment in a Caribbean Island, Guadeloupe (French West Indies) BT AF Dereeper, Alexis Gruel, Gaëlle Pot, Matthieu Couvin, David Barbier, Elodie Bastian, Sylvaine Bambou, Jean-Christophe Gelu-Simeon, Moana Ferdinand, Séverine Guyomard-Rabenirina, Stéphanie Passet, Virginie Martino, Frederic Piveteau, Pascal Reynaud, Yann Rodrigues, Carla Roger, Pierre-Marie Roy, Xavier Talarmin, Antoine Tressieres, Benoit Valette, Marc Brisse, Sylvain Breurec, Sébastien AS 1:1;2:1;3:1;4:1;5:2;6:3;7:4;8:5;9:1;10:1;11:6;12:7;13:8;14:1;15:6;16:9,10;17:11;18:1;19:12;20:7;21:6;22:1,3,10,12; FF 1:;2:;3:;4:;5:;6:;7:;8:;9:;10:;11:;12:;13:;14:;15:;16:;17:;18:;19:;20:;21:;22:; C1 Transmission, Reservoir and Diversity of Pathogens Unit, Pasteur Institute of Guadeloupe, Pointe-à-Pitre, France UMR AgroEcologie, INRAE, Bourgogne Franche-Comté University, Dijon, France Laboratory of Clinical Microbiology, University Hospital Center of Guadeloupe, Pointe-à-Pitre/Les Abymes, France INRAE, ASSET, Petit-Bourg, France Hepato-Gastroenterology Department, University Hospital Center of Guadeloupe, Pointe-à-Pitre/Les Abymes, France Institut Pasteur, University Paris Cité, Biodiversity and Epidemiology of Bacterial Pathogens, Paris, France Intensive Care Department, University Hospital Center of Guadeloupe, Pointe-à-Pitre/Les Abymes, France UR OPAALE, INRAE, Rennes, France Infectious Disease Department, University Hospital Center of Guadeloupe, Pointe-à-Pitre/Les Abymes, France Faculty of Medecine Hyacinthe Bastaraud, University of the Antilles, Pointe-à-Pitre, France Veterinary Clinic, Baie-Mahault, Guadeloupe INSERM Center for Clinical Investigation 1424, Pointe-à-Pitre/Les Abymes, France C2 INST PASTEUR, FRANCE INRAE, FRANCE CHU GUADELOUPE, FRANCE INRAE, FRANCE CHU GUADELOUPE, FRANCE INST PASTEUR, FRANCE CHU GUADELOUPE, FRANCE INRAE, FRANCE CHU GUADELOUPE, FRANCE UNIV ANTILLES, FRANCE VETERINARY CLINIC, FRANCE INSERM, FRANCE IN DOAJ IF 3.7 TC 0 UR https://archimer.ifremer.fr/doc/00800/91237/96993.pdf https://archimer.ifremer.fr/doc/00800/91237/96994.pdf https://archimer.ifremer.fr/doc/00800/91237/96995.xlsx https://archimer.ifremer.fr/doc/00800/91237/96996.xls https://archimer.ifremer.fr/doc/00800/91237/96997.xlsx LA English DT Article AB Guadeloupe (French West Indies), a Caribbean island, is an ideal place to study the reservoirs of the Klebsiella pneumoniae species complex (KpSC) and identify the routes of transmission between human and nonhuman sources due to its insularity, small population size, and small area. Here, we report an analysis of 590 biological samples, 546 KpSC isolates, and 331 genome sequences collected between January 2018 and May 2019. The KpSC appears to be common whatever the source. Extended-spectrum-β-lactamase (ESBL)-producing isolates (21.4%) belonged to K. pneumoniae sensu stricto (phylogroup Kp1), and all but one were recovered from the hospital setting. The distribution of species and phylogroups across the different niches was clearly nonrandom, with a distinct separation of Kp1 and Klebsiella variicola (Kp3). The most frequent sequence types (STs) (≥5 isolates) were previously recognized as high-risk multidrug-resistant (MDR) clones, namely, ST17, ST307, ST11, ST147, ST152, and ST45. Only 8 out of the 63 STs (12.7%) associated with human isolates were also found in nonhuman sources. A total of 22 KpSC isolates were defined as hypervirulent: 15 associated with human infections (9.8% of all human isolates), 4 (8.9%) associated with dogs, and 3 (15%) associated with pigs. Most of the human isolates (33.3%) belonged to the globally successful sublineage CG23-I. ST86 was the only clone shared by a human and a nonhuman (dog) source. Our work shows the limited transmission of KpSC isolates between human and nonhuman sources and points to the hospital setting as a cornerstone of the spread of MDR clones and antibiotic resistance genes. PY 2022 PD OCT SO Microbiology Spectrum SN 2165-0497 PU American Society for Microbiology VL 10 IS 5 DI 10.1128/spectrum.01242-22 ID 91237 ER EF