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In this study, we found that the conjugative virulence plasmids containing carbapenem resistance genes could be conjugated to Klebsiella strains, enabling them to express antibiotic resistance and hypervirulence-associated phenotypes simultaneously. More importantly, we observed that the global dissemination of this type of multidrug resistance and hypervirulence conjugative plasmid is lineage specific. The UMAP projection revealed that the regional variations were correlated with ST types and serotypes, which poses a global threat of the CR-hvKp infection worldwide.
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Xu et al. (2025) studied this question.
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