Rate of colonization of health care workers by carbapenem-resistant Enterobacteriaceae in an endemic hospital: A prospective study

Nosocomial outbreak of monoclonal VIM carbapenemase-producing Enterobacter cloacae complex in an intensive care unit during the COVID-19 pandemic: an integrated approach

“…Ultimately, the possibility of VIM-producing ECC carriage within the nursing staff was discussed during summer 2020. According to the literature, the link between patient and healthcare worker carriages is not always obvious [ [40] , [41] , [42] ]. As no readily available and efficient treatment could have been provided in case of positivity and eviction was not an option during the COVID-19 pandemic, especially in an ICU, it was finally decided not to screen the entire staff for VIM-producing ECC carriage.…”

New and emerging infectious diseases (Ebola, Middle Eastern respiratory syndrome coronavirus, carbapenem-resistant Enterobacteriaceae, Candida auris): Focus on environmental survival and germicide susceptibility

“…A study of fecal carriage among HCP in a hospital endemic for CRE revealed none of 177 evaluated health care providers were colonized with CRE. 101 The main reservoir leading to human CRE infections is the human gut. Person-to-person transmission via direct and indirect contact are the most common mechanisms of transmission (Table 3).…”

Healthcare personnel intestinal colonization with multidrug-resistant organisms

“…Colonized staff with suboptimal hand hygiene could potentially transmit MDRO to patients. Studies evaluating HCP intestinal colonization with vancomycin-resistant enterococci (VRE) (0%–6.5%) [3–6] and carbapenem-resistant bacteria [5,7] have been small and lacked control groups and assessments of sample quality. A multinational study of 1001 HCP revealed an extended spectrum β-lactamase-producing (ESBL+) organism carriage rate of 3.5% among participants; however, that study did not include US institutions [8].…”