2012
DOI: 10.3201/eid1808.111816
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blaNDM-1–positiveKlebsiella pneumoniaefrom Environment, Vietnam

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Cited by 79 publications
(53 citation statements)
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“…The outbreak of NDM-positive isolates from patients in Illinois emphasizes that hospitalized patients are at risk of infections caused by MDR pathogens (9). The epidemic NDM scenario in this hospital may be a harbinger of a much larger problem, as this difficult-to-treat enzyme disseminates into the community (1,3,4), as has been the case for carbapenemase-producing Enterobacteriaceae isolates producing other class B as well as class A and D enzymes (5). Although the majority of NDM-positive isolates from this surveillance study were from patients hospitalized in India and limited to observations from 2008 to 2010, this resistance mechanism continues to disseminate to other countries, as documented by recent scientific literature and data shown here.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The outbreak of NDM-positive isolates from patients in Illinois emphasizes that hospitalized patients are at risk of infections caused by MDR pathogens (9). The epidemic NDM scenario in this hospital may be a harbinger of a much larger problem, as this difficult-to-treat enzyme disseminates into the community (1,3,4), as has been the case for carbapenemase-producing Enterobacteriaceae isolates producing other class B as well as class A and D enzymes (5). Although the majority of NDM-positive isolates from this surveillance study were from patients hospitalized in India and limited to observations from 2008 to 2010, this resistance mechanism continues to disseminate to other countries, as documented by recent scientific literature and data shown here.…”
Section: Discussionmentioning
confidence: 99%
“…These isolates have now spread to numerous countries worldwide and have been isolated from both the community and inpatient populations as well as from the environment (1)(2)(3)(4)(5)(6). Twelve NDM enzyme variants have been identified in numerous species of Enterobacteriaceae and common nonfermentative Gram-negative bacilli (7,8).…”
mentioning
confidence: 99%
“…This clearly showed for the first time that the problem of NDM-1 was not confined to hospital strains of bacteria, but was widespread in the community environment in India, highlighting the need for improvements in sanitary conditions as a key public health intervention. Interestingly, a recent report from Vietnam (described by the authors as a country with strong cultural and economic links with India) also documented environmental contamination with NDM, with two water samples from the Kim Nguu river, which flows through the centre of Hanoi, giving positive PCR results for bla NDM-1 (Isozumi et al, 2012). Both PCR-positive samples, which were obtained from river sites 3 km apart, yielded growth of NDM-positive K. pneumoniae of ST283, indicating a likely high level of contamination of the river with this carbapenem-resistant opportunist pathogen.…”
Section: Epidemiological Link Of Ndm With the Indian Subcontinentmentioning
confidence: 97%
“…A patient who was hospitalized in Ho Chi Minh City in 2011 was found to have NDM-positive K. pneumoniae when she was hospitalized in the United States shortly after (152). Interestingly, NDM-positive K. pneumoniae was also cultured from the environment (seepage water) in Vietnam in 2011 (153), just like in South Asia.…”
Section: Vietnam There Is No National or Regional Antimicrobial Resimentioning
confidence: 99%
“…CP-CRE have also been isolated from the community and environment in several South and Southeast Asian countries, including India, Pakistan, and Vietnam (14,85,87,153). In the first of these studies done in India, Walsh and coworkers showed that NDM-positive Enterobacteriaceae could be isolated from seepage and even tap water throughout New Delhi (14).…”
Section: Drivers Of Carbapenem-resistant Gram-negative Bacteriamentioning
confidence: 99%