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Nosocomial cluster of carbapenemase-producing Enterobacter cloacae in an intensive care unit dedicated COVID-19
oleh: Guillaume Miltgen, Thomas Garrigos, Pascal Cholley, Marine Deleume, Nicolas Allou, Jérôme Allyn, David A. Wilkinson, Nathalie Lugagne, Olivier Belmonte, Xavier Bertrand, Didier Hocquet, Patrick Mavingui
Format: | Article |
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Diterbitkan: | BMC 2021-10-01 |
Deskripsi
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.