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Isolates shared a background that took shape in 2006, when MCR-1 was first mobilized.
Transmission chain mapping points to prolonged colistin use in livestock and poultry.
The authors of the study say they're concerned the gene may already be widely disseminated.
Scientists say it's the first MCR-1 hospital outbreak.
The findings are a sign the gene has spread widely in community and healthcare settings throughout the country.
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