Klebsiella pneumoniae
bacteremia biofilm traits and distribution characteristics have not been clarified. This study aimed to determine the prevalence and characteristics ofK. pneumoniaebacteremia biofilm formation (BF) and to explore the virulence factors associated withK. pneumoniaeBF. A total of 250K. pneumoniaebacteremia isolates were collected from patients in Shenzhen and Shanghai, China. Virulence genes in their genomes were detected by PCR. The isolates were subjected to multilocus sequence typing (MLST) and clonal complex (CC) classification based on housekeeping genes. Biofilms were detected by crystal violet staining. Greater BF was observed in isolates from young adults (<40 years old) than in those from seniors (≥65 years old;P= 0.002). MLST yielded 65 different sequence types (STs), with the most represented STs being ST11, ST23, and ST65, and the main CCs were CC23 and CC65; CC23 isolates exhibited greater BF than CC65 or ST11 isolates (bothP< 0.001). BF was more pronounced amongmagA(K1), aero+,rmpA+,rmpA2+,allS+,wcaG+, andiutA+ isolates than in isolates that were negative for these virulence factors. Multivariate regression analysis revealed onlywcaGas an independent risk factor for BF (odds ratio 11.426,P< 0.001), and BF was decreased whenwcaGwas silenced by antisense RNA. In conclusion, BF inK. pneumoniaebacteremia isolates was found to be associated with CC23 classification and the presence of thewcaGvirulence factor gene.