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The emergence of community acquired infections increases the public health concern on K. pneumoniae and closely related bacteria among which antimicrobial resistance spreads. We report a multidrug-resistant K. pneumoniae isolate, B31, of a patient infected in the community and admitted to an intensive care unit in Northeast Brazil. Antimicrobial susceptibility and genome information were thoroughly investigated to characterize B31 in front of 172 sequenced strains of different countries. Assigned to the Sequence Type 15, which is global

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69 times (CI 0.18-2.62, p 0.05) greater with obesity; 2.01 (CI 0.18-3.09, p 0.05) times greater with sugar consumption; 2.21 times (CI 1.27-4.12, p 0.001) greater with cerebral palsy; and 2.27 (CI 1.29-5.12, p 0.001) times greater with intellectual disability. The present study showed a positive association between dental caries and obesity among children of special health care needs. Hence, a focused approach towards the common risk factors is essential to prevent both obesity and dental caries in special-needs c