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

页码：330 / 332

页数：3

共 11 条

[1] Agenzia Sanitaria e Sociale Regionale Emilia-Romagna, 2011, IND PRAT PROT OP DIA
[2] [Anonymous], 2010, EURO SURVEILL
[3] Carbapenem-Resistant Klebsiella pneumoniae in Post-Acute-Care Facilities in Israel
Ben-David, Debby
Masarwa, Samira
Navon-Venezia, Shiri
Mishali, Hagit
Fridental, Ilan
Rubinovitch, Bina
Smollan, Gill
Carmeli, Yehuda
Schwaber, Mitchell J.
[J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2011, 32 (09) : 845 - 853
[4] A Multifaceted Intervention Strategy for Eradication of a Hospital-Wide Outbreak Caused by Carbapenem-Resistant Klebsiella pneumoniae in Southern Israel
Borer, Abraham
Eskira, Seada
Nativ, Ronit
Saidel-Odes, Lisa
Riesenberg, Klaris
Livshiz-Riven, Ilana
Schlaeffer, Francisc
Sherf, Michael
Peled, Nejama
[J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2011, 32 (12) : 1158 - 1165
[5] Institutional Control Measures to Curtail the Epidemic Spread of Carbapenem-Resistant Klebsiella pneumoniae: A 4-Year Perspective
Cohen, Matan J.
Block, Colin
Levin, Phillip D.
Schwartz, Carmela
Gross, Ilana
Weiss, Yuval
Moses, Allon E.
Benenson, Shmuel
[J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2011, 32 (07) : 673 - 678
[6] Comitato di Studio AMCLI per gli Antimicrobici (CoSA), 2012, IND SCREEN COLT PAZ
[7] European Centre for Disease Prevention and Control (ECDC), 2011, ANN REP EUR ANT RES
[8] Carbapenem-Resistant Enterobacteriaceae: Epidemiology and Prevention
Gupta, Neil
Limbago, Brandi M.
Patel, Jean B.
Kallen, Alexander J.
[J]. CLINICAL INFECTIOUS DISEASES, 2011, 53 (01) : 60 - 67
[9] Identification and screening of carbapenemase-producing Enterobacteriaceae
Nordmann, P.
Gniadkowski, M.
Giske, C. G.
Poirel, L.
Woodford, N.
Miriagou, V.
[J]. CLINICAL MICROBIOLOGY AND INFECTION, 2012, 18 (05) : 432 - 438
[10] Predictors of Rectal Carriage of Carbapenem-Resistant Enterobacteriaceae (CRE) among Patients with Known CRE Carriage at Their Next Hospital Encounter
Schechner, Vered
Kotlovsky, Tali
Tarabeia, Jalal
Kazma, Meital
Schwartz, David
Navon-Venezia, Shiri
Carmeli, Yehuda
[J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2011, 32 (05) : 497 - 503

← 1 2 →