Active surveillance for asymptomatic carriers of carbapenemase-producing Klebsiella pneumoniae in a hospital setting

被引：34
|
作者：
Gagliotti, C. [1 ]
Ciccarese, V. [2 ]
Sarti, M. [2 ]
Giordani, S. [2 ]
Barozzi, A. [2 ]
Braglia, C. [2 ]
Gallerani, C. [2 ]
Gargiulo, R. [2 ]
Lenzotti, G. [2 ]
Manzi, O. [2 ]
Martella, D. [2 ]
Moro, M. L. [1 ]
机构：
[1] Agenzia Sanitaria & Sociale Reg Emilia Romagna, I-40127 Bologna, Italy
[2] Nuovo Osped Civile S Agostino Estense, Azienda Unita Sanitaria Locale Modena, Baggiovara, Italy
来源：
JOURNAL OF HOSPITAL INFECTION | 2013年 / 83卷 / 04期
关键词：
Carbapenemase; Carrier; Klebsiella pneumoniae; Screening; ENTEROBACTERIACEAE; INTERVENTION; OUTBREAK; ISRAEL;
D O I：
10.1016/j.jhin.2012.11.024
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
The spread of carbapenemase-producing Klebsiella pneumoniae (CPKP) is a challenging public health threat. Early identification and isolation of infected patients and carriers are key measures of control. This study describes a CPKP screening strategy in a tertiary Italian hospital. During the five-month study period, 1687 patients were screened by rectal swabs. Of these, 65 (3.9%) tested positive for CPKP; 5.1% of case contacts tested positive. Screening case contacts appears to be the essential surveillance component for detecting asymptomatic carriers of CPKP. The added value of selective CPKP screening on hospital admission depends on the frequency of carriers among incoming patients. (C) 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：330 / 332
页数：3
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