Hypervirulent Klebsiella pneumoniae causing bloodstream infections in Hungary

Abstract

This study represents the first investigation of the prevalence of hypervirulent K. pneumoniae (hvKP) in bloodstream infections in Hungary, conducted at the University Hospital of Pécs. Our findings emphasize the need to accurately identify hvKP strains, integrating both phenotypic and genotypic screening. Whole genome sequencing revealed genetic diversity among the Hungarian hvKP isolates, confirming the emergence of globally disseminating hvKP clones—ST86, CC893, and ST5—in Hungary. The localization of hypervirulence-related genes on mobile genetic elements, e.g., on virulence plasmids or on ICE Kp1 similar to those found in hvKP isolates from different continents, underscores the significant role of horizontal gene transfer in the spread of hvKP. Overall, the study enhances our understanding of hvKP epidemiology and underscores the importance of continued molecular surveillance and control measures to mitigate the threat of hvKP infections in Hungary.