Transmission patterns of multiple strains producing New Delhi metallo-β-lactamase variants among animals and the environment in live poultry markets

The widespread transmission of blaNDM among livestock and the live poultry industry attracts considerable public attention. However, studies have not yet addressed its impact on public health in live poultry markets (LPMs). Herein, we investigated the prevalence and genomic epidemiology of blaNDM-positive bacteria in various niches, and explored the transmission patterns of blaNDM within LPMs. Samples were collected between 2019 and 2022 from two LPMs in China. blaNDM was most prevalent in wastewater (35/66, 53.03