Nosocomial cluster of carbapenemase-producing Enterobacter cloacae in an intensive care unit dedicated COVID-19
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Titre | Nosocomial cluster of carbapenemase-producing Enterobacter cloacae in an intensive care unit dedicated COVID-19 |
Type de publication | Journal Article |
Year of Publication | 2021 |
Auteurs | Miltgen G, Garrigos T, Cholley P, Deleume M, Allou N, Allyn J, Wilkinson DA, Lugagne N, Belmonte O, Bertrand X, Hocquet D, Mavingui P |
Journal | ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL |
Volume | 10 |
Pagination | 151 |
Date Published | OCT 21 |
Type of Article | Article |
ISSN | 2047-2994 |
Mots-clés | Carbapenemase, COVID-19, Cross transmission, Enterobacter cloacae, Intensive care unit, Personal protective equipment |
Résumé | 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. |
DOI | 10.1186/s13756-021-01022-6 |