K. Pneumoniae

The World Health Organization (WHO) has issued an alert regarding the growing global presence of hypervirulent Klebsiella pneumoniae (hvKp), particularly the sequence type (ST) 23 carrying carbapenemase genes. This development is of significant concern due to the bacterium’s ability to cause severe infections in both healthy and immunocompromised individuals, as well as its resistance to critical antibiotics.

Global Monitoring and Findings


The Global Antimicrobial Resistance and Use Surveillance System’s Early Alert and Response (GLASS-EAR) team recently conducted an investigation across 124 countries to assess the prevalence of hvKp ST23. Responses from 43 countries revealed that 16 countries reported the presence of hvKp, with 12 countries specifically identifying hvKp ST23-K1. These countries include Algeria, Argentina, Australia, Canada, Cambodia, China (Hong Kong SAR), India, Iran, Japan, Oman, Papua New Guinea, Philippines, Switzerland, Thailand, the United Kingdom, and the United States.

Public Health Threat

The emergence of hvKp strains resistant to carbapenem antibiotics poses a significant global health threat due to their potential for severe infection and geographical spread. The WHO’s risk assessment categorizes the global risk as moderate, citing concerns about sustained transmission, limited control capacities, and the potential for these resistant strains to spread to other bacterial species.

WHO Recommendations

To mitigate the risk and enhance the global response, the WHO provides the following recommendations for member states:

  1. Awareness and Laboratory Capacity:
    • Strengthen clinical and public health awareness for early detection of hvKp.
    • Improve laboratory capacity to differentiate hvKp from classical K. pneumoniae.
  2. Consensus Definition and Detection:
    • Develop a consensus definition for hvKp and standardize detection methods.
  3. National Reference Laboratories:
    • Reinforce the role of national reference laboratories in molecular testing and analysis.
  4. Surveillance Systems:
    • Establish robust surveillance systems for the routine detection and monitoring of hvKp.
  5. Infection Prevention and Control:
    • Implement strict infection control measures in healthcare settings to prevent the spread of hvKp.
  6. Research and Development:
    • Invest in research to understand hvKp mechanisms and develop new diagnostic tools and treatments.

Also Read: A Breakthrough in Brain Aneurysm Treatment: A Case Study from Wockhardt Hospitals

Call to Action

The WHO emphasizes the importance of a coordinated global response to this emerging threat. By enhancing diagnostic capabilities, raising awareness, and investing in research, member states can better manage the risk posed by hypervirulent and antimicrobial-resistant K. pneumoniae strains. The WHO remains committed to supporting countries in strengthening their healthcare systems and protecting public health.


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