Outbreak of carbapenem-resistant Providencia rettgeri in a tertiary hospital
| Autor: | V S Tshisevhe, M R Lekalakala, N Tshuma, S Janse van Rensburg, N Mbelle |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | South African Medical Journal, Vol 107, Iss 1, Pp 31-33 (2017) |
| Druh dokumentu: | article |
| ISSN: | 0256-9574 2078-5135 |
| DOI: | 10.7196/SAMJ.2017.v107i1.12002 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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