Delayed Diagnosis of High Drug‐Resistant Microorganisms Carriage in Repatriated Patients: Three Cases in a French Intensive Care Unit: Table 1
Author(s) -
Jérôme Allyn,
Marion Angue,
Olivier Belmonte,
Nathalie Lugagne,
Nicolas Traversier,
David Vandroux,
Yannick Lefort,
Nicolas Allou
Publication year - 2015
Publication title -
journal of travel medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.985
H-Index - 59
eISSN - 1708-8305
pISSN - 1195-1982
DOI - 10.1111/jtm.12194
Subject(s) - carriage , medicine , isolation (microbiology) , intensive care unit , acinetobacter , drug resistance , intensive care medicine , transmission (telecommunications) , emergency medicine , antibiotics , pediatrics , microbiology and biotechnology , pathology , electrical engineering , biology , engineering
We report three cases of high drug-resistant microorganisms (HDRMO) carriage by patients repatriated from a foreign country. National recommendations suggest systematic screening and contact isolation pending results of admission screening of all patients recently hospitalized abroad. HDRMO carriage (carbapenem-resistant Acinetobacter baumanii and carbapenemase-producing Enterobacteriaceae) was not isolated on admission screening swabs, but later between 3 and 8 days after admission. In absence of cross-transmission, two hypotheses seem possible: a false-negative test on admission, or a late onset favored by antibiotic pressure. Prolonged isolation may be discussed even in case of negative screening on admission from high-risk patients.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom