{"id":"https://openalex.org/W7202281376","doi":"https://doi.org/10.3389/fmicb.2026.1891649","title":"Whole-genome characterisation of high-risk ST131 and the emerging ST1193 UPEC lineages in Romanian patients with recurrent urinary tract infections","display_name":"Whole-genome characterisation of high-risk ST131 and the emerging ST1193 UPEC lineages in Romanian patients with recurrent urinary tract infections","publication_year":2026,"publication_date":"2026-08-12","ids":{"openalex":"https://openalex.org/W7202281376","doi":"https://doi.org/10.3389/fmicb.2026.1891649","pmid":"https://pubmed.ncbi.nlm.nih.gov/42656392","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13506840"},"language":"en","primary_location":{"id":"doi:10.3389/fmicb.2026.1891649","doi":"https://doi.org/10.3389/fmicb.2026.1891649","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmicb.2026.1891649","pdf_url":"https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2026.1891649/pdf","source":{"id":"https://openalex.org/S2484704948","display_name":"Frontiers in Microbiology","issn_l":"1664-302X","issn":["1664-302X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Microbiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2026.1891649/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111262345","display_name":"Laura-Ioana Popa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Laura-Ioana Popa","raw_affiliation_strings":["Genomics, Transcriptomics, and Bioinformatics Platform, Cantacuzino National Military Medical Institute for Research and Development"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Genomics, Transcriptomics, and Bioinformatics Platform, Cantacuzino National Military Medical Institute for Research and Development","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082470527","display_name":"Sorin Dinu","orcid":"https://orcid.org/0000-0001-6762-2718","observed_orcids":["https://orcid.org/0000-0001-6762-2718"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sorin Dinu","raw_affiliation_strings":["Molecular Epidemiology for Communicable Diseases Laboratory, Cantacuzino National Military Medical Institute for Research and Development"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Molecular Epidemiology for Communicable Diseases Laboratory, Cantacuzino National Military Medical Institute for Research and Development","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102044948","display_name":"Daniela Cristea","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniela Cristea","raw_affiliation_strings":["Enteric Bacterial Infections Laboratory - Cantacuzino National Military Medical Institute for Research and Development"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Enteric Bacterial Infections Laboratory - Cantacuzino National Military Medical Institute for Research and Development","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104826190","display_name":"Andreea Ghi\u021b\u0103","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andreea Ghi\u021b\u0103","raw_affiliation_strings":["Enteric Bacterial Infections Laboratory - Cantacuzino National Military Medical Institute for Research and Development"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Enteric Bacterial Infections Laboratory - Cantacuzino National Military Medical Institute for Research and Development","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146966554","display_name":"Gabriel Ionescu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I162051807","display_name":"Carol Davila University of Medicine and Pharmacy","ror":"https://ror.org/04fm87419","country_code":"RO","type":"education","lineage":["https://openalex.org/I162051807"]}],"countries":["RO"],"is_corresponding":false,"raw_author_name":"Gabriel Ionescu","raw_affiliation_strings":["Department II, \u201cCantacuzino\u201d Microbiology Discipline, Carol Davila University of Medicine and Pharmacy Bucharest","Medical Laboratory - Cantacuzino National Military Medical Institute for Research and Development"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department II, \u201cCantacuzino\u201d Microbiology Discipline, Carol Davila University of Medicine and Pharmacy Bucharest","institution_ids":["https://openalex.org/I162051807"]},{"raw_affiliation_string":"Medical Laboratory - Cantacuzino National Military Medical Institute for Research and Development","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018749148","display_name":"Mihaela M. Oprea","orcid":"https://orcid.org/0000-0002-7673-5957","observed_orcids":["https://orcid.org/0000-0002-7673-5957"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mihaela Oprea","raw_affiliation_strings":["Molecular Epidemiology for Communicable Diseases Laboratory, Cantacuzino National Military Medical Institute for Research and Development"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Molecular Epidemiology for Communicable Diseases Laboratory, Cantacuzino National Military Medical Institute for Research and Development","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5111262345"],"corresponding_institution_ids":[],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1891649","last_page":"1891649"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10943","display_name":"Escherichia coli research studies","score":0.8125,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10943","display_name":"Escherichia coli research studies","score":0.8125,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.16050000488758087,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11232","display_name":"Urinary Tract Infections Management","score":0.020400000736117363,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/recurrent-urinary-tract-infection","display_name":"recurrent urinary tract infection","score":0.925000011920929},{"id":"https://openalex.org/keywords/uropathogenic-escherichia-coli","display_name":"uropathogenic Escherichia coli","score":0.9990000128746033},{"id":"https://openalex.org/keywords/st131","display_name":"ST131","score":0.9760000109672546},{"id":"https://openalex.org/keywords/st1193","display_name":"ST1193","score":0.9980000257492065},{"id":"https://openalex.org/keywords/extended-spectrum-beta-lactamase","display_name":"extended-spectrum beta-lactamase","score":0.8479999899864197},{"id":"https://openalex.org/keywords/blactx-m-15","display_name":"blaCTX-M-15","score":0.9179999828338623},{"id":"https://openalex.org/keywords/blactx-m-27","display_name":"blaCTX-M-27","score":0.9909999966621399},{"id":"https://openalex.org/keywords/fluoroquinolone-resistance","display_name":"fluoroquinolone resistance","score":0.9380000233650208},{"id":"https://openalex.org/keywords/antimicrobial-resistance-genes","display_name":"antimicrobial resistance genes","score":0.8100000023841858},{"id":"https://openalex.org/keywords/incf-plasmids","display_name":"IncF plasmids","score":0.871999979019165},{"id":"https://openalex.org/keywords/conjugative-plasmids","display_name":"conjugative plasmids","score":0.921999990940094},{"id":"https://openalex.org/keywords/class-1-integron","display_name":"class 1 integron","score":0.781000018119812},{"id":"https://openalex.org/keywords/insertion-sequences","display_name":"insertion sequences","score":0.9039999842643738},{"id":"https://openalex.org/keywords/virulence-genes","display_name":"virulence genes","score":0.7039999961853027},{"id":"https://openalex.org/keywords/extraintestinal-pathogenic-escherichia-coli","display_name":"extraintestinal pathogenic Escherichia coli","score":0.8930000066757202},{"id":"https://openalex.org/keywords/molecular-epidemiology","display_name":"molecular epidemiology","score":0.5239999890327454},{"id":"https://openalex.org/keywords/romania","display_name":"Romania","score":0.6169999837875366}],"concepts":[{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.8090999722480774},{"id":"https://openalex.org/C132533263","wikidata":"https://www.wikidata.org/wiki/Q2347362","display_name":"Mobile genetic elements","level":4,"score":0.617900013923645},{"id":"https://openalex.org/C60987743","wikidata":"https://www.wikidata.org/wiki/Q1460232","display_name":"Virulence","level":3,"score":0.6039999723434448},{"id":"https://openalex.org/C547475151","wikidata":"https://www.wikidata.org/wiki/Q25419","display_name":"Escherichia coli","level":3,"score":0.5777999758720398},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.5767999887466431},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.5723000168800354},{"id":"https://openalex.org/C22744801","wikidata":"https://www.wikidata.org/wiki/Q172778","display_name":"Plasmid","level":3,"score":0.5659999847412109},{"id":"https://openalex.org/C193252679","wikidata":"https://www.wikidata.org/wiki/Q242125","display_name":"Phylogenetic tree","level":3,"score":0.5239999890327454},{"id":"https://openalex.org/C77434933","wikidata":"https://www.wikidata.org/wiki/Q4043440","display_name":"Multilocus sequence typing","level":4,"score":0.4706999957561493},{"id":"https://openalex.org/C104317684","wikidata":"https://www.wikidata.org/wiki/Q7187","display_name":"Gene","level":2,"score":0.4478999972343445},{"id":"https://openalex.org/C4937899","wikidata":"https://www.wikidata.org/wiki/Q68541106","display_name":"Antimicrobial","level":2,"score":0.36250001192092896},{"id":"https://openalex.org/C2776685102","wikidata":"https://www.wikidata.org/wiki/Q410897","display_name":"Carbapenem","level":3,"score":0.36149999499320984},{"id":"https://openalex.org/C114851261","wikidata":"https://www.wikidata.org/wiki/Q12147416","display_name":"Drug resistance","level":2,"score":0.3456999957561493},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.34470000863075256},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.34439998865127563},{"id":"https://openalex.org/C62130838","wikidata":"https://www.wikidata.org/wiki/Q5196163","display_name":"Pathogenicity island","level":4,"score":0.33880001306533813},{"id":"https://openalex.org/C2777058267","wikidata":"https://www.wikidata.org/wiki/Q132592","display_name":"Klebsiella pneumoniae","level":4,"score":0.3375999927520752},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.32850000262260437},{"id":"https://openalex.org/C18103114","wikidata":"https://www.wikidata.org/wiki/Q1720369","display_name":"Replicon","level":4,"score":0.3212999999523163},{"id":"https://openalex.org/C157887575","wikidata":"https://www.wikidata.org/wiki/Q417216","display_name":"Insertion sequence","level":5,"score":0.32089999318122864},{"id":"https://openalex.org/C133936738","wikidata":"https://www.wikidata.org/wiki/Q643839","display_name":"Multiple drug resistance","level":3,"score":0.3174000084400177},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.31540000438690186},{"id":"https://openalex.org/C24432333","wikidata":"https://www.wikidata.org/wiki/Q2068526","display_name":"Whole genome sequencing","level":4,"score":0.2897999882698059},{"id":"https://openalex.org/C2776460866","wikidata":"https://www.wikidata.org/wiki/Q170065","display_name":"Pathogen","level":2,"score":0.2858999967575073}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3389/fmicb.2026.1891649","doi":"https://doi.org/10.3389/fmicb.2026.1891649","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmicb.2026.1891649","pdf_url":"https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2026.1891649/pdf","source":{"id":"https://openalex.org/S2484704948","display_name":"Frontiers in Microbiology","issn_l":"1664-302X","issn":["1664-302X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Microbiology","raw_type":"journal-article"},{"id":"pmid:42656392","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42656392","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in microbiology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13506840","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13506840/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Microbiol","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fmicb.2026.1891649","doi":"https://doi.org/10.3389/fmicb.2026.1891649","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmicb.2026.1891649","pdf_url":"https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2026.1891649/pdf","source":{"id":"https://openalex.org/S2484704948","display_name":"Frontiers in Microbiology","issn_l":"1664-302X","issn":["1664-302X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Microbiology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7202281376.pdf","grobid_xml":"https://content.openalex.org/works/W7202281376.grobid-xml"},"referenced_works_count":82,"referenced_works":["https://openalex.org/W1961504819","https://openalex.org/W1976585970","https://openalex.org/W1989757746","https://openalex.org/W1994576782","https://openalex.org/W2009119563","https://openalex.org/W2014151922","https://openalex.org/W2027836512","https://openalex.org/W2031240692","https://openalex.org/W2031611770","https://openalex.org/W2037378264","https://openalex.org/W2097005840","https://openalex.org/W2099963994","https://openalex.org/W2107847506","https://openalex.org/W2112874950","https://openalex.org/W2122949601","https://openalex.org/W2144148663","https://openalex.org/W2161060487","https://openalex.org/W2165192857","https://openalex.org/W2170952441","https://openalex.org/W2173913502","https://openalex.org/W2287944079","https://openalex.org/W2342484850","https://openalex.org/W2464920763","https://openalex.org/W2471784842","https://openalex.org/W2527109340","https://openalex.org/W2579862691","https://openalex.org/W2581099509","https://openalex.org/W2592954192","https://openalex.org/W2597681848","https://openalex.org/W2622659147","https://openalex.org/W2746561549","https://openalex.org/W2768838077","https://openalex.org/W2787717152","https://openalex.org/W2794070260","https://openalex.org/W2883838322","https://openalex.org/W2885680427","https://openalex.org/W2892741003","https://openalex.org/W2894808609","https://openalex.org/W2940335772","https://openalex.org/W2943114933","https://openalex.org/W2945011491","https://openalex.org/W2952672626","https://openalex.org/W2955217214","https://openalex.org/W2967125766","https://openalex.org/W2968906317","https://openalex.org/W2982482851","https://openalex.org/W2995225293","https://openalex.org/W3000392416","https://openalex.org/W3010509525","https://openalex.org/W3013022217","https://openalex.org/W3034144542","https://openalex.org/W3036416944","https://openalex.org/W3072496682","https://openalex.org/W3090034530","https://openalex.org/W3100504680","https://openalex.org/W3100583527","https://openalex.org/W3179720352","https://openalex.org/W3190108759","https://openalex.org/W3195628855","https://openalex.org/W3205957075","https://openalex.org/W4200132024","https://openalex.org/W4205305751","https://openalex.org/W4211238209","https://openalex.org/W4220797845","https://openalex.org/W4281745684","https://openalex.org/W4288074381","https://openalex.org/W4312125447","https://openalex.org/W4392954662","https://openalex.org/W4394785938","https://openalex.org/W4396685119","https://openalex.org/W4401715865","https://openalex.org/W4404615189","https://openalex.org/W4406798130","https://openalex.org/W4407278360","https://openalex.org/W4409903453","https://openalex.org/W4411916250","https://openalex.org/W4412817502","https://openalex.org/W4413122812","https://openalex.org/W4413480957","https://openalex.org/W4417121907","https://openalex.org/W7117106786","https://openalex.org/W7162795580"],"related_works":["https://openalex.org/W4381663508","https://openalex.org/W2897766334","https://openalex.org/W4366729128","https://openalex.org/W4391174643","https://openalex.org/W7162795580","https://openalex.org/W2113458363","https://openalex.org/W2958098264","https://openalex.org/W2968906317","https://openalex.org/W2922055253","https://openalex.org/W4416138298"],"abstract_inverted_index":{"Recurrent":[0,70],"urinary":[1,71],"tract":[2,72],"infections":[3,73],"(UTIs)":[4,74],"are":[5,232],"frequently":[6,160],"associated":[7,76,161],"with":[8,19,37,77,162,263],"persistent":[9],"uropathogenic":[10],"Escherichia":[11],"coli":[12,145],"(UPEC)":[13],"lineages":[14,269],"that":[15,152,227,240],"combine":[16,241],"antimicrobial":[17,94],"resistance":[18,95],"virulence":[20],"traits,":[21],"contributing":[22],"to":[23,121,172,200],"treatment":[24],"failure.":[25],"Whole-genome":[26],"sequencing":[27],"was":[28,46,139],"performed":[29],"on":[30],"199":[31],"UPEC":[32,80,132,268],"isolates":[33,128,198,255],"recovered":[34,256],"from":[35],"patients":[36],"recurrent":[38,228],"or":[39,175],"difficult-to-treat":[40],"UTIs":[41,229],"for":[42],"whom":[43],"autovaccine":[44],"therapy":[45],"recommended.":[47],"Assemblies":[48],"were":[49,75,155,170],"analysed":[50],"using":[51],"AMRFinderPlus,":[52],"VFDB,":[53],"MOB-suite,":[54],"mobile":[55],"genetic":[56,206,222],"element":[57,207],"detection,":[58],"serotyping,":[59],"and":[60,66,86,112,126,159,177,191,217,247],"clonotype":[61],"assignment":[62],"tools,":[63],"MLST,":[64],"cgMLST":[65],"SNP-based":[67],"phylogenetic":[68],"analyses.":[69],"multiple":[78],"pandemic":[79],"lineages,":[81,194],"including":[82,102],"ST131,":[83],"ST69,":[84],"ST10":[85],"the":[87,130,156,168,186,201,264,271],"emerging":[88],"ST1193.":[89],"Genomic":[90],"analyses":[91,184],"identified":[92,185,209],"acquired":[93],"genes":[96,107],"in":[97,230,257],"nearly":[98],"80%":[99],"of":[100,167,252,266],"isolates,":[101],"extended-spectrum":[103],"\u03b2":[104],"-lactamase":[105],"(ESBL)":[106],"such":[108],"as":[109,141],"bla":[110,113,219],"CTX-M-15":[111],"CTX-M-27":[114],",":[115],"alongside":[116],"chromosomal":[117],"resistance-associated":[118,245],"mutations":[119,246],"linked":[120],"fluoroquinolone":[122,244],"resistance.":[123],"All":[124],"ST131":[125,188],"ST1193":[127,197],"fulfilled":[129],"molecular":[131],"criteria,":[133],"while":[134,195],"all":[135],"but":[136],"one":[137,178],"isolate":[138],"classified":[140],"extraintestinal":[142],"pathogenic":[143],"E.":[144],"(ExPEC).":[146],"MOB-suite":[147],"plasmid":[148],"prediction":[149],"analysis":[150],"showed":[151],"IncF":[153],"replicons":[154],"most":[157,196],"common":[158],"ESBL":[163,242],"genes.":[164],"Almost":[165],"half":[166],"plasmids":[169],"predicted":[171],"be":[173],"mobilizable":[174],"conjugative,":[176],"third":[179],"indicated":[180],"multireplicon":[181],"structures.":[182],"Phylogenetic":[183],"predominant":[187],"O25:":[189],"H4/CH40-30":[190],"O16:":[192],"H5/CH40-41":[193],"belonged":[199],"O75:":[202],"H5/CH14-64":[203],"lineage.":[204],"Mobile":[205],"profiling":[208],"lineage-associated":[210],"insertion":[211],"sequence":[212],"repertoires,":[213],"class":[214],"1":[215],"integrons":[216],"distinct":[218],"CTX-M":[220],"-associated":[221],"environments.":[223],"The":[224,250],"results":[225],"indicate":[226],"Romania":[231],"largely":[233],"driven":[234],"by":[235],"globally":[236],"disseminated":[237],"ExPEC":[238],"clones":[239],"production,":[243],"virulence-associated":[248],"traits.":[249],"detection":[251],"closely":[253],"related":[254],"different":[258],"collection":[259],"years":[260],"is":[261],"consistent":[262],"circulation":[265],"successful":[267],"within":[270],"studied":[272],"population.":[273]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-13T00:00:00"}
