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Nosocomial cluster of carbapenemase-producing Enterobacter cloacae in an intensive care unit dedicated COVID-19.
Miltgen, Guillaume; Garrigos, Thomas; Cholley, Pascal; Deleume, Marine; Allou, Nicolas; Allyn, Jérôme; Wilkinson, David A; Lugagne, Nathalie; Belmonte, Olivier; Bertrand, Xavier; Hocquet, Didier; Mavingui, Patrick.
  • Miltgen G; Laboratoire de Bactériologie, CHU Félix Guyon, Allée des Topazes, 97400, Saint-Denis, La Réunion, France. guillaume.miltgen@chu-reunion.fr.
  • Garrigos T; UMR PIMIT, Processus Infectieux en Milieu Insulaire Tropical, CNRS 9192, INSERM U1187, IRD 249, Université de La Réunion, Sainte-Clotilde, La Réunion, France. guillaume.miltgen@chu-reunion.fr.
  • Cholley P; Laboratoire de Bactériologie, CHU Félix Guyon, Allée des Topazes, 97400, Saint-Denis, La Réunion, France.
  • Deleume M; Service d'Hygiène Hospitalière, CHU Jean Minjoz, Besançon, France.
  • Allou N; UMR CNRS 6249 Chrono-Environnement, Université de Bourgogne Franche-Comté, Besançon, France.
  • Allyn J; Laboratoire de Bactériologie, CHU Félix Guyon, Allée des Topazes, 97400, Saint-Denis, La Réunion, France.
  • Wilkinson DA; Service de Réanimation Polyvalente, CHU Félix Guyon, Saint-Denis, La Réunion, France.
  • Lugagne N; Service de Réanimation Polyvalente, CHU Félix Guyon, Saint-Denis, La Réunion, France.
  • Belmonte O; UMR PIMIT, Processus Infectieux en Milieu Insulaire Tropical, CNRS 9192, INSERM U1187, IRD 249, Université de La Réunion, Sainte-Clotilde, La Réunion, France.
  • Bertrand X; Service d'hygiène hospitalière, CHU Félix Guyon, Saint-Denis, La Réunion, France.
  • Hocquet D; Laboratoire de Bactériologie, CHU Félix Guyon, Allée des Topazes, 97400, Saint-Denis, La Réunion, France.
  • Mavingui P; Service d'Hygiène Hospitalière, CHU Jean Minjoz, Besançon, France.
Antimicrob Resist Infect Control ; 10(1): 151, 2021 10 21.
Article in English | MEDLINE | ID: covidwho-1484323
ABSTRACT
Concomitant prevention of SARS-CoV-2 and extensively drug-resistant bacteria transmission is a difficult challenge in intensive care units dedicated to COVID-19 patients. We report a nosocomial cluster of four patients carrying NDM-1 plasmid-encoded carbapenemase-producing Enterobacter cloacae. Two main factors may have contributed to cross-transmission misuse of gloves and absence of change of personal protective equipment, in the context of COVID-19-associated shortage. This work highlights the importance of maintaining infection control measures to prevent CPE cross-transmission despite the difficult context and that this type of outbreak can potentially involve several species of Enterobacterales.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cross Infection / Infection Control / Enterobacter cloacae / Enterobacteriaceae Infections / Coinfection / Carbapenem-Resistant Enterobacteriaceae Type of study: Observational study / Randomized controlled trials Limits: Humans Language: English Journal: Antimicrob Resist Infect Control Year: 2021 Document Type: Article Affiliation country: S13756-021-01022-6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cross Infection / Infection Control / Enterobacter cloacae / Enterobacteriaceae Infections / Coinfection / Carbapenem-Resistant Enterobacteriaceae Type of study: Observational study / Randomized controlled trials Limits: Humans Language: English Journal: Antimicrob Resist Infect Control Year: 2021 Document Type: Article Affiliation country: S13756-021-01022-6