Surveillance of carbapenemase-producing Enterobacteriaceae in the Indian Ocean Region between January 2010 and December 2015
| Autor: | N. Lugagne, Jérôme Allyn, Nicolas Allou, G. Miltgen, A.M. Holman, N. Traversier, A. Lignereux, S. Picot, C. Oudin, Olivier Belmonte |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 0301 basic medicine Carbapenemase-Producing Enterobacteriaceae Veterinary medicine Time Factors Klebsiella pneumoniae 030106 microbiology Tigecycline Biology Microbiology 03 medical and health sciences medicine Humans In patient Indian Ocean Retrospective Studies Incidence (epidemiology) Mortality rate Enterobacteriaceae Infections biology.organism_classification Indian ocean Carbapenem-Resistant Enterobacteriaceae Infectious Diseases Population Surveillance Colistin Female Reunion medicine.drug |
| Zdroj: | Médecine et Maladies Infectieuses. 47:333-339 |
| ISSN: | 0399-077X |
| DOI: | 10.1016/j.medmal.2017.04.007 |
| Popis: | Background The aim of this study was to trace the emergence of carbapenemase-producing Enterobacteriaceae (CPE) on Reunion Island, a French overseas territory well suited for the surveillance of CPE emergence in patients from the entire Indian Ocean Region. Methods This retrospective multicenter study was conducted on Reunion Island between 2010 and 2015. Results A total of 43 CPEs were isolated during the course of the study, in 36 patients (50% in the last year alone). Among these patients, 21 had a link with a foreign country (58%), mainly Mauritius (47.6%). Over the same period, CPEs were isolated from 13 of 1735 (0.7%) repatriated patients to Reunion Island from another country of the Indian Ocean Region. The incidence of isolation of CPEs in the repatriated patients treated in Mauritius was higher (9.2%) than in patients treated in Madagascar or the Comoros Islands ( P Klebsiella pneumoniae (39.5%). The most frequently identified carbapenemase was NDM-1 (81.4%); 100% and 56% of the NDM-1 strains were susceptible to tigecycline and colistin, respectively. In-hospital mortality rate was higher in patients presenting with CPE infection than in patients without CPE infection (75% vs. 25%, P = 0.04). Conclusion As elsewhere in the world, the number of CPE cases on Reunion Island is on the rise. Most cases involve patients from Mauritius, which justifies screening and isolating CPE in patients from that country. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect