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The bla(KPC-3) and qnrB19 determinants of transferable Klebsiella pneumoniae plasmid pLRM24 reside within a complex region consisting of a Tn1331 backbone into which a Tn4401-like element and qnrB19 mobilized by an adjacent ISEcp1 insertion sequence have been inserted. This novel element represents a coalescence of genes conferring multidrug resistance in K. pneumoniae.
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Public Policy Committee: John H. Filer, David C. Garrett, David C. Jones, Walter H. Page, Donald B. Smiley, Cyrus R. Vance
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