High-risk clonal expansion of IMP-producing Enterobacter cloacae complex in regional Japanese healthcare settings
This study found that two types of highly drug-resistant bacteria (ST78 and ST133) are widespread in Japanese healthcare settings, including many small hospitals, suggesting a silent and ongoing clonal dissemination. The research used whole-genome sequencing of isolates collected across 58 hospitals, identifying ST133 as a particularly common and underreported lineage in Japan, emphasizing the need for broader molecular surveillance.