Rapid Spread and Control of Multidrug-Resistant Gram-Negative Bacteria in COVID-19 Patient Care Units.

Patel, Ashka; Emerick, Michele; Cabunoc, Marie K; Williams, Michelle H; Preas, Michael Anne; Schrank, Gregory; Rabinowitz, Ronald; Luethy, Paul; Johnson, J Kristie; Leekha, Surbhi

Patel, Ashka; Emerick, Michele; Cabunoc, Marie K; Williams, Michelle H; Preas, Michael Anne; Schrank, Gregory; Rabinowitz, Ronald; Luethy, Paul; Johnson, J Kristie; Leekha, Surbhi.

Emerg Infect Dis ; 27(4): 1234-1237, 2021 04.

Article in English | MEDLINE | ID: covidwho-1076431

ABSTRACT

ABSTRACT

We describe rapid spread of multidrug-resistant gram-negative bacteria among patients in dedicated coronavirus disease care units in a hospital in Maryland, USA, during May-June 2020. Critical illness, high antibiotic use, double occupancy of single rooms, and modified infection prevention practices were key contributing factors. Surveillance culturing aided in outbreak recognition and control.

Subject(s)

Anti-Bacterial Agents; COVID-19; Critical Illness; Gram-Negative Bacteria; Infection Control; Practice Patterns, Nurses'; Superinfection; Anti-Bacterial Agents/classification; Anti-Bacterial Agents/therapeutic use; COVID-19/epidemiology; COVID-19/physiopathology; COVID-19/therapy; Critical Illness/epidemiology; Critical Illness/therapy; Drug Resistance, Multiple, Bacterial; Gram-Negative Bacteria/classification; Gram-Negative Bacteria/drug effects; Gram-Negative Bacteria/isolation & purification; Humans; Infection Control/methods; Infection Control/organization & administration; Intensive Care Units/organization & administration; Maryland/epidemiology; Microbiological Techniques/methods; Microbiological Techniques/statistics & numerical data; Practice Patterns, Nurses'/organization & administration; Practice Patterns, Nurses'/standards; Precipitating Factors; Risk Factors; SARS-CoV-2; Superinfection/diagnosis; Superinfection/microbiology

Keywords

COVID-19; MDR; Maryland; SARS-CoV-2; United States; antimicrobial resistance; bacteria; bacterial infections; coronavirus disease; gram-negative; multidrug resistant; outbreak; respiratory infections; severe acute respiratory syndrome coronavirus 2; viruses; zoonoses

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Superinfection / Infection Control / Critical Illness / Practice Patterns, Nurses' / COVID-19 / Gram-Negative Bacteria / Anti-Bacterial Agents Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Emerg Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article

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