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Ongoing multi-country outbreak of carbapenem-resistant Enterobacter hormaechei ST1344 carrying bla NDM-5 in the European Union/European Economic Area, March 2025 to April 2026.

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Title: Ongoing multi-country outbreak of carbapenem-resistant Enterobacter hormaechei ST1344 carrying bla NDM-5 in the European Union/European Economic Area, March 2025 to April 2026.
Authors: Roer L; National Reference Laboratory for Antimicrobial Resistance, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.; European Union Reference Laboratory for Public Health on Antimicrobial Resistance in Bacteria (EURL-PH-AMR), Copenhagen, Denmark.; These authors contributed equally to this work and share first authorship., Sandfort M; These authors contributed equally to this work and share first authorship.; Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Haller S; Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Roth SA; Public Health Agency of Lower Saxony (NLGA), Hanover, Germany., Höfken LM; German National Reference Centre for Multidrug-resistant Gram-negative Bacteria, Department of Medical Microbiology, Ruhr-University Bochum, Bochum, Germany., Javadi S; German National Reference Centre for Multidrug-resistant Gram-negative Bacteria, Department of Medical Microbiology, Ruhr-University Bochum, Bochum, Germany., Balanza N; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.; ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden., Friedsam A; Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.; ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.; Postgraduate Training for Applied Epidemiology (PAE), Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany., Wolf SA; Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany., Østergaard C; Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark., Wong MTY; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands., Lis-Tønder J; Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark., Schoffelen AF; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands., Cormican M; School of Medicine, University of Galway, Galway, Ireland., Porsbo LJ; National Center for Infection Control, Infectious Disease Epidemiology & Prevention, Statens Serum Institut, Copenhagen, Denmark., Clarke C; Galway Reference Laboratory Service, Galway, Ireland., Hasman H; National Reference Laboratory for Antimicrobial Resistance, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.; European Union Reference Laboratory for Public Health on Antimicrobial Resistance in Bacteria (EURL-PH-AMR), Copenhagen, Denmark., Kerschner H; National Reference Center for Antimicrobial Resistance, Linz, Austria., Hammerum AM; National Reference Laboratory for Antimicrobial Resistance, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.; European Union Reference Laboratory for Public Health on Antimicrobial Resistance in Bacteria (EURL-PH-AMR), Copenhagen, Denmark., Hart R; National Reference Center for Antimicrobial Resistance, Linz, Austria., Samuelsen Ø; Norwegian Centre for Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway., Sare M; Department of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, Norway., Meo M; Laboratoire National de Santé, Dudelange, Luxembourg., Lagneaux AS; Laboratoire National de Santé, Dudelange, Luxembourg., Perrin M; Laboratoire National de Santé, Dudelange, Luxembourg., Müller V; Public Health Agency of Sweden, Solna, Sweden., Witteveen S; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands., de Greeff SC; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands., Notermans DW; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands., Svartström O; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden., Alm E; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden., Linkevicius M; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden., Kohlenberg A; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden., Hendrickx APA; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Source: Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin [Euro Surveill] 2026 Jun; Vol. 31 (25).
Publication Type: Journal Article
Journal Info: Publisher: European Centre for Disease Prevention and Control (ECDC) Country of Publication: Sweden NLM ID: 100887452 Publication Model: Print Cited Medium: Internet ISSN: 1560-7917 (Electronic) Linking ISSN: 1025496X NLM ISO Abbreviation: Euro Surveill Subsets: MEDLINE
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  Data: Ongoing multi-country outbreak of carbapenem-resistant Enterobacter hormaechei ST1344 carrying bla <subscript>NDM-5</subscript> in the European Union/European Economic Area, March 2025 to April 2026.
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  Data: <searchLink fieldCode="AU" term="%22Roer+L%22">Roer L</searchLink>; National Reference Laboratory for Antimicrobial Resistance, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.; European Union Reference Laboratory for Public Health on Antimicrobial Resistance in Bacteria (EURL-PH-AMR), Copenhagen, Denmark.; These authors contributed equally to this work and share first authorship.<br /><searchLink fieldCode="AU" term="%22Sandfort+M%22">Sandfort M</searchLink>; These authors contributed equally to this work and share first authorship.; Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Haller+S%22">Haller S</searchLink>; Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Roth+SA%22">Roth SA</searchLink>; Public Health Agency of Lower Saxony (NLGA), Hanover, Germany.<br /><searchLink fieldCode="AU" term="%22Höfken+LM%22">Höfken LM</searchLink>; German National Reference Centre for Multidrug-resistant Gram-negative Bacteria, Department of Medical Microbiology, Ruhr-University Bochum, Bochum, Germany.<br /><searchLink fieldCode="AU" term="%22Javadi+S%22">Javadi S</searchLink>; German National Reference Centre for Multidrug-resistant Gram-negative Bacteria, Department of Medical Microbiology, Ruhr-University Bochum, Bochum, Germany.<br /><searchLink fieldCode="AU" term="%22Balanza+N%22">Balanza N</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.; ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.<br /><searchLink fieldCode="AU" term="%22Friedsam+A%22">Friedsam A</searchLink>; Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.; ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.; Postgraduate Training for Applied Epidemiology (PAE), Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Wolf+SA%22">Wolf SA</searchLink>; Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Østergaard+C%22">Østergaard C</searchLink>; Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark.<br /><searchLink fieldCode="AU" term="%22Wong+MTY%22">Wong MTY</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Lis-Tønder+J%22">Lis-Tønder J</searchLink>; Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark.<br /><searchLink fieldCode="AU" term="%22Schoffelen+AF%22">Schoffelen AF</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Cormican+M%22">Cormican M</searchLink>; School of Medicine, University of Galway, Galway, Ireland.<br /><searchLink fieldCode="AU" term="%22Porsbo+LJ%22">Porsbo LJ</searchLink>; National Center for Infection Control, Infectious Disease Epidemiology & Prevention, Statens Serum Institut, Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Clarke+C%22">Clarke C</searchLink>; Galway Reference Laboratory Service, Galway, Ireland.<br /><searchLink fieldCode="AU" term="%22Hasman+H%22">Hasman H</searchLink>; National Reference Laboratory for Antimicrobial Resistance, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.; European Union Reference Laboratory for Public Health on Antimicrobial Resistance in Bacteria (EURL-PH-AMR), Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Kerschner+H%22">Kerschner H</searchLink>; National Reference Center for Antimicrobial Resistance, Linz, Austria.<br /><searchLink fieldCode="AU" term="%22Hammerum+AM%22">Hammerum AM</searchLink>; National Reference Laboratory for Antimicrobial Resistance, Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark.; European Union Reference Laboratory for Public Health on Antimicrobial Resistance in Bacteria (EURL-PH-AMR), Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Hart+R%22">Hart R</searchLink>; National Reference Center for Antimicrobial Resistance, Linz, Austria.<br /><searchLink fieldCode="AU" term="%22Samuelsen+Ø%22">Samuelsen Ø</searchLink>; Norwegian Centre for Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.<br /><searchLink fieldCode="AU" term="%22Sare+M%22">Sare M</searchLink>; Department of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, Norway.<br /><searchLink fieldCode="AU" term="%22Meo+M%22">Meo M</searchLink>; Laboratoire National de Santé, Dudelange, Luxembourg.<br /><searchLink fieldCode="AU" term="%22Lagneaux+AS%22">Lagneaux AS</searchLink>; Laboratoire National de Santé, Dudelange, Luxembourg.<br /><searchLink fieldCode="AU" term="%22Perrin+M%22">Perrin M</searchLink>; Laboratoire National de Santé, Dudelange, Luxembourg.<br /><searchLink fieldCode="AU" term="%22Müller+V%22">Müller V</searchLink>; Public Health Agency of Sweden, Solna, Sweden.<br /><searchLink fieldCode="AU" term="%22Witteveen+S%22">Witteveen S</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.<br /><searchLink fieldCode="AU" term="%22de+Greeff+SC%22">de Greeff SC</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Notermans+DW%22">Notermans DW</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.<br /><searchLink fieldCode="AU" term="%22Svartström+O%22">Svartström O</searchLink>; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.<br /><searchLink fieldCode="AU" term="%22Alm+E%22">Alm E</searchLink>; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.<br /><searchLink fieldCode="AU" term="%22Linkevicius+M%22">Linkevicius M</searchLink>; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.<br /><searchLink fieldCode="AU" term="%22Kohlenberg+A%22">Kohlenberg A</searchLink>; European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.<br /><searchLink fieldCode="AU" term="%22Hendrickx+APA%22">Hendrickx APA</searchLink>; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
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