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Infection Control & Hospital Epidemiology Infection Control & Hospital Epidemiology

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Resolution of Carbapenemase-Producing Klebsiella pneumoniae Outbreak in a Tertiary Cancer Center; the Role of Active Surveillance

Published online by Cambridge University Press:  11 July 2017

Clare Rock ,
Melanie S. Curless ,
Maggie Cantara ,
Seema Mehta ,
Kristen A. Marrone ,
Karen C. Carroll ,
Patricia Simner  and
Lisa L. Maragakis
Clare Rock*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
Melanie S. Curless
Affiliation:
Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
Maggie Cantara
Affiliation:
Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
Seema Mehta
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Kristen A. Marrone
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Karen C. Carroll
Affiliation:
Division of Medical Microbiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Patricia Simner
Affiliation:
Division of Medical Microbiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Lisa L. Maragakis
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland
*
Address correspondence to Clare Rock, MD, MS, Johns Hopkins University School of Medicine, Division of Infectious Diseases, 600 North Wolfe Street, Halsted 831, Baltimore, MD 21287-5425 (Clare.Rock@jhmi.edu).
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Type
Research Briefs
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 9 , September 2017 , pp. 1117 - 1119
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION: Part of the data reported here were presented as a poster at the Society for Hospital Epidemiology of America (SHEA) Spring Meeting 2017 in March 2017, in St. Louis, Missouri.

a,b

Authors of equal contribution, respectively.

References

1. Centers for Disease Control and Prevention. Vital signs: carbapenem-resistant Enterobacteriaceae. Morb Mortal Wkly Rep 2013;62:165–170.Google ScholarPubMed
2. Snitkin, ES, Zelazny, AM, Thomas, PJ, et al. Tracking a hospital outbreak of carbapenem-resistant Klebsiella pneumoniae with whole-genome sequencing. Sci Transl Med 2012;4:148ra116.CrossRefGoogle ScholarPubMed
3. Kanamori, H, Parobek, CM, Juliano, JJ, et al. A prolonged outbreak of KPC-producing Enterobacter cloacae and Klebsiella pneumoniae driven by multiple mechanisms of resistance transmission at a large academic burn center. Antimicrob Agents Chemother 2016;61:e01516-e01516.Google Scholar
4. Leitner, E, Zarfel, G, Luxner, J, et al. Contaminated handwashing sinks as the source of a clonal outbreak of KPC-2-producing Klebsiella oxytoca on a hematology ward. Antimicrob Agents Chemother 2015;59:714–716.CrossRefGoogle ScholarPubMed
5. Ben-David, D, Maor, Y, Keller, N, et al. Potential role of active surveillance in the control of a hospital-wide outbreak of carbapenem-resistant Klebsiella pneumoniae infection. Infect Control Hosp Epidemiol 2010;31:620–626.CrossRefGoogle ScholarPubMed
6. Facility guidance for carbapenem-resistant Enterobacteriaceae. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/organisms/cre/. Published 2015. Accessed March 21, 2017.Google Scholar
7. Kizny Gordon, AE, Mathers, AJ, Cheong, EYL, et al. Is the hospital water environment a reservoir for carbapenem-resistant organisms causing hospital-acquired infections? A systematic review of the literature. Clin Infect Dis 2017:cix132.Google ScholarPubMed
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