“…Additionally, resistance to carbapenems can occur due to the production of other enzymes, such as metallo-beta-lactamases, e.g., the New Delhi metallo-beta-lactamase-1 (NDM-1). Since its detection in 2008 in New Delhi, India 23 strains producing NDM-1 have been reported in many countries, including Brazil 6 , 8 , 9 , 24 , 25 . Considering the importance of knowing which resistance genes and plasmids are circulating among multi-drug resistant clinical isolates in hospitals in Brazil, we investigated the bla KPC , bla GES , bla NDM , bla VIM , and bla IMP genes, and the most common plasmid Incs in K. pneumoniae (FIB, Q, A/C, L/M, N, HI2, and HI1B) to analyze the clonal relationship between KPC resistant clinical isolates obtained from a public hospital in Recife-PE, Brazil.…”