Outbreak of carbapenem-resistant Providencia rettgeri in a tertiary hospital

被引：0
|
作者：
Tshisevhe, V. S. [1 ,2 ]
Lekalakala, M. R. [3 ,4 ]
Tshuma, N. [5 ]
van Rensburg, S. Janse [1 ]
Mbelle, N. [1 ,2 ]
机构：
[1] Natl Hlth Lab Serv, Tshwane Acad Div, Dept Med Microbiol, Pretoria, South Africa
[2] Univ Pretoria, Fac Hlth Sci, Dept Med Microbiol, ZA-0002 Pretoria, South Africa
[3] Univ Limpopo, Dept Med Microbiol, Polokwane Natl Hlth Lab Serv, Polokwane, South Africa
[4] Univ Limpopo, Dept Med Microbiol, Fac Hlth Sci, Polokwane, South Africa
[5] Community AIDS Response, Johannesburg, South Africa
来源：
SAMJ SOUTH AFRICAN MEDICAL JOURNAL | 2017年 / 107卷 / 01期
关键词：
ENTEROBACTERIACEAE; EMERGENCE; STRAINS;
D O I：
10.7196/SAMJ.2017.v107i1.12002
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The emergence of resistance to multiple antimicrobial agents in pathogenic bacteria is a significant public health threat, as there are limited effective antimicrobial agents for infections caused by multidrug-resistant (MDR) bacteria. Several MDR bacteria are now frequently detected. Carbapenem resistance in Enterobacteriaceae is often plasmid mediated, necessitating stringent infection control practices. We describe an outbreak of carbapenem-resistant Providencia rettgeri involving 4 patients admitted to intensive care and high-care units at a tertiary hospital. Clinical and demographic characteristics of 4 patients with carbapenem-resistant P. rettgeri were documented. All P rettgeri isolated in these cases had a carbapenem-resistant antibiogram, with resistance to imipenem, ertapenem and meropenem. These cases could be epidemiologically linked. A multiprong approach, simultaneously targeting antibiotic stewardship, universal precautions and appropriate transmission-based precaution practices, is integral to prevention and control of nosocomial infections.
引用
收藏
页码：36 / 38
页数：3
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