Escherichia coli ST-361 carrying blaNDM-5 and blaKPC-3 from Ukraine and Germany, May 2023 to January 2024. Escherichia coli

Genomic surveillance detected clonal Escherichia coli ST-361 isolates carrying blaNDM-5, blaKPC-3, blaCTX-M-15, and rmtB1 from a patient in Ukraine and wounded foreign soldiers evacuated from the country. Isolates were non-susceptible to carbapenems, aminoglycosides but also cefiderocol and aztreonam/avibactam due to a PBP3 YRIN insertion and an acquired blaCMY-145 AmpC beta-lactamase.