Carbapenemase-producing Enterobacteriaceae in a group of Polish travelers  returning from South and South-East Asia, June 2017 – June 2018. Environment- or healthcare-associated?

Kłudkowska, Matylda; Pielok, Łukasz; Wrońska, Marta; Tomczak, Hanna

doi:10.26444/aaem/106113

Cited by 5 publications

(3 citation statements)

References 23 publications

(32 reference statements)

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“…Our study showed that NDM-1 (15/31) was the main mechanism of carbapenem resistance during the outbreak. Currently, contact with endemic countries, either by tourism or by healthcare, is considered the main risk factor for NDM-1 acquisition [42,43].…”

Section: Discussionmentioning

confidence: 99%

Successful control of the first carbapenem-resistant Klebsiella pneumoniae outbreak in a Chinese hospital 2017–2019

Zhu

et al. 2020

Antimicrob Resist Infect Control

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Background: Carbapenem-resistant Klebsiella pneumoniae (CRKP) is considered as a serious global threat. CRKPs occurred only sporadically in the Second Hospital of Shanxi Medical University. Our study aimed to investigate and control the first outbreak of CRKP in our hospital occurred between October 2017 and August 2019. Methods: The antimicrobial stewardship (AMS) workers have been implemented control measures properly. Clinical and epidemiological data were retrospectively collected from medical records. Carbapenemase genes were detected by modified carbapenem inactivation method (mCIM) test and the EDTA-modified carbapenem inactivation method (eCIM) test. Resistance genes were identified by polymerase chain reaction (PCR) and sequencing. Genetic relatedness was studied by multilocus sequence typing (MLST). Results: During the outbreak, 31 patients were infected with CRKP isolates. 20 (64.5%) patients were infected with KPC-2 and/or NDM-1 producing K. pneumoniae. Mostly MLST-sequence types belonged to ST11 (21/31). The outbreak was two major K. pneumoniae clusters present in epidemiologically linked patients. Conclusions: Setting up AMS workers is potentially a highly efficient strategy for the successful control of the outbreak. A multimodal and multidisciplinary infection control strategy proved to be crucial. The emergence of CRKP in our hospital emphasizes the importance of continuous monitoring of these isolates, which helps to limit the spread of CRKPs and improve the level of management.

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Section: Discussionmentioning

confidence: 99%

Successful control of the first carbapenem-resistant Klebsiella pneumoniae outbreak in a Chinese hospital 2017–2019

Zhu

et al. 2020

Antimicrob Resist Infect Control

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“…This result is in line with research by Jaita et al and Kłudkowska et al, which states that one of the factors that contributes greatly to the incidence of diarrhea is the habit of travelers who like to consume vegetables salad when traveling. [46,47] Several other studies have also reported that most of the E. coli bacteria, which is the most common agent causing diarrhea, is found in raw vegetables and fruits. In addition to E. coli, other species such as Shigella, Salmonella, Giardia duodenalis and Enterocytozoon bieneusi, are also common.…”

Section: Related To Traveler's Diarrheamentioning

confidence: 94%

Characteristics of Traveler’s Diarrhea in Foreign Traveler’s Visiting Beaches in Badung Regency, Bali

Azizah,

Damayanti,

Sudarmaja

2024

Int J Res Rev

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Traveler’s Diarrhea (TD) is a common infectious disease impacting travelers from developed countries who visit developing countries, such as Indonesia. Reporting of Traveler’s Diarrhea (TD) cases in Indonesia is still low, especially in Bali. This study aimed to describe the characteristics of Traveler’s Diarrhea (TD) in foreign travelers visiting beaches in Badung Regency, Bali. This study used cross sectional descriptive method in collecting data. The population was all foreign travelers visiting eight beaches in Badung Regency, Bali. In this study 61 respondents were selected using a purposive sampling technique. Data collection involved a questionnaire and analyzed using univariate statistics. The majority of respondents were European females (70,5%), aged 26-35 (41%), from Germany (11,5%), visiting Bali for tourism (80,3%), their first time in Southeast Asia (47,5%) and Bali (45,9%). Predominant diarrhea characteristics included 3-4 bowel movements per day (75,4%), loose stool consintency (59%) accompanied by abdominal cramps (41%), lasting 1-7 days (96,7%), a single episode (73,8%). Most managed Traveler’s Diarrhea (TD) with medication (63,2%) and continued their travels (80,3%), consumed vegetable salad (50,8%), consumed overnight food (91,8%), consumed raw meat (80,3%) and drank tap water (95,1%). This study suggest that Traveler’s Diarrhea (TD) is prevalent among foreign travelers visiting beaches in Badung Regency, Bali with key factors being the absence of pre-travel consultations, consumption of drinks with ice and vegetables salad. Keywords: Traveler’s Diarrhea, TD, Foreign Traveler, Characteristic

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“…It was first reported in 2009 in Klebsiella pneumoniae and E. coli recovered from a Swedish patient of Indian origin who was previously admitted to a hospital in New Delhi, India [5] . Thereafter it was reported from India as well as other parts of the world [6,7] . K. pneumoniae and E. coli are the most common NDM-1 producers.…”

Section: Introductionmentioning

confidence: 99%

Phenotypic Identification and Molecular Detection of bla (NDM-1) Gene in Multidrug Resistant Gram Negative Bacilli in Sohag University Hospital

Eid

Ismail

Yousef

et al. 2022

Sohag Medical Journal

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Background: Carbapenemase-producing Enterobacteriaceae (CPE) represents a worldwide public health problem. One of the most important emerging resistance traits corresponds to the production of the carbapenem-hydrolysing β-lactamases, which confer resistance to almost all β-lactams Objectives: to determine the occurance of bla (NDM-1) gene among clinical isolates of multidrug resistant gram negative bacilli in Sohag University Hospital. Methodology: This study was prospectively conducted over a period of 24 months between Februray 2017 and January 2019, at Sohag university hospital. This study included 150 isolates obtained from various clinical specimens from patients admitted to different department in Sohag University Hospital with age ranged from 1 to 81 years old. Results: This study included 150 patients were infected by multi drug resistant gram negative bacilli, 100 of patients were resistant to carbapenem group (66.6%) and 50 patients were sensitive to carbapenem group (33.3%). There was no significant difference between the two groups regarding age (p value=0.782 ). Similarly, there was no significant difference between the two groups regarding sex distribution (p value=0.636). Most of cases was surgical site infection (34%) followed by respiratory tract infection (33.6) with no significant difference between groups regarding diagnosis (p value=0.25). In most of cases type of organism is klebsiella pneumonia (33 cases) 26 of them was positive NDM-1 gene followed by Escherichia coli (24 cases) 14 of them was positive NDM-1 gene. There is significant difference between groups regarding organism (p value=0.03). Conclusion: Carbapenem resistant enterobacteriacae are spreading in our locality and Egypt.

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Carbapenemase-producing Enterobacteriaceae in a group of Polish travelers returning from South and South-East Asia, June 2017 – June 2018. Environment- or healthcare-associated?

Cited by 5 publications

References 23 publications

Successful control of the first carbapenem-resistant Klebsiella pneumoniae outbreak in a Chinese hospital 2017–2019

Successful control of the first carbapenem-resistant Klebsiella pneumoniae outbreak in a Chinese hospital 2017–2019

Characteristics of Traveler’s Diarrhea in Foreign Traveler’s Visiting Beaches in Badung Regency, Bali

Phenotypic Identification and Molecular Detection of bla (NDM-1) Gene in Multidrug Resistant Gram Negative Bacilli in Sohag University Hospital

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