ruleID organism gene nodeID refseq accession GenBank accession HMM accession ARO accession mutation variation type context drug drug class phenotype clinical category breakpoint breakpoint standard PMID evidence code evidence grade evidence limitations rule curation note KPN0001 s__Klebsiella pneumoniae blaSHV blaSHV WP_419672855.1 - - ARO:3000015 - Gene presence detected core - penicillin beta-lactam wildtype R not applicable "Expected resistant phenotypes v1.2 (13 January, 2023)" 32284385 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene, all SHV alleles are expected to confer resistance to penicillins (penams), explaining the expected resistant to ampicillin. (Certain SHV alleles can also have expanded enzyme activity, and confer resistance to third-generation cephalosporins.)" KPN0002 s__Klebsiella pneumoniae oqxA oqxA WP_419141451.1 - - ARO:3003922 - Gene presence detected core ciprofloxacin - wildtype S MIC <=0.25 mg/L EUCAST v15.0 (2025) 30834112 ECO:0001103 natural variation mutant evidence moderate "low clinical relevance, lacks evidence for this allele" "Wildtype core gene encoding an efflux pump. This efflux pump likely contributes to the ciprofloxacin MIC distribution in K. pneumoniae being shifted upwards compared to other Enterobacteriaceae, but it is not associated with clinical resistance in this species unless efflux activity is upregulated. (The specific alleles or mutations associated with upregulation of the efflux pump in K. pneumoniae are not well described.)" KPN0003 s__Klebsiella pneumoniae oqxB oqxB WP_419388593.1 - - ARO:3003923 - Gene presence detected core ciprofloxacin - wildtype S MIC <=0.25 mg/L EUCAST v15.0 (2025) 30834112 ECO:0001103 natural variation mutant evidence moderate lacks evidence for this species "Wildtype core gene encoding an efflux pump. This efflux pump likely contributes to the ciprofloxacin MIC distribution in K. pneumoniae being shifted upwards compared to other Enterobacteriaceae, but it is not associated with clinical resistance in this species unless efflux activity is upregulated. (The specific alleles or mutations associated with upregulation of the efflux pump in K. pneumoniae are not well described.)" KPN0004 s__Klebsiella pneumoniae fosA5_fam fosA5_fam WP_417645943.1 - - - - Gene presence detected core fosfomycin - wildtype S MIC <=128 mg/L ECOFF (May 2025) 33128341 ECO:0001103 natural variation mutant evidence moderate lacks evidence for this species "Wildtype core gene, not expected to confer multiple drug resistance unless mobilised under strong promoter (fosA5_family is the parent node for K. pneumoniae chromosomal fosA)" KPN0005 s__Klebsiella pneumoniae fosA5 fosA5 WP_012579083.1 - - ARO:3003209 - Gene presence detected core fosfomycin - wildtype S MIC <=128 mg/L ECOFF (May 2025) 25441705 ECO:0000012 functional complementation evidence moderate lacks evidence for this species "Wildtype core gene, not expected to confer multiple drug resistance unless mobilised under strong promoter" KPN0006 s__Klebsiella pneumoniae fosA6 fosA6 WP_069174570.1 - - ARO:3004111 - Gene presence detected core fosfomycin - wildtype S MIC <=128 mg/L ECOFF (May 2025) 27261267 "ECO:0000012 functional complementation evidence, ECO:0000005 enzymatic activity assay evidence" moderate lacks evidence of the degree to which MIC is affected "Wildtype core gene, not expected to confer multiple drug resistance unless mobilised under strong promoter" KPN0007 s__Klebsiella pneumoniae fosA10 fosA10 WP_004214174.1 - - - - Gene presence detected core fosfomycin - wildtype S MIC <=128 mg/L ECOFF (May 2025) 32431524 ECO:0000012 functional complementation evidence moderate lacks evidence for this species "Wildtype core gene, not expected to confer multiple drug resistance unless mobilised under strong promoter"