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Prevalence of Rectal Colonization with Multidrug-Resistant Enterobacteriaceae among International Patients Hospitalized at Mayo Clinic, Rochester, Minnesota

Published online by Cambridge University Press:  10 May 2016

Shawn Vasoo ,
Theresa Madigan ,
Scott A. Cunningham ,
Jayawant N. Mandrekar ,
Stephen B. Porter ,
Brian Johnston ,
Priya Sampathkumar ,
Pritish K. Tosh ,
James R. Johnson  and
Robin Patel
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Shawn Vasoo
Affiliation:
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
Theresa Madigan
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota
Scott A. Cunningham
Affiliation:
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota
Jayawant N. Mandrekar
Affiliation:
Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota
Stephen B. Porter
Affiliation:
Veterans Affairs Medical Center and University of Minnesota, Minneapolis, Minnesota
Brian Johnston
Affiliation:
Veterans Affairs Medical Center and University of Minnesota, Minneapolis, Minnesota
Priya Sampathkumar
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
Pritish K. Tosh
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
James R. Johnson
Affiliation:
Veterans Affairs Medical Center and University of Minnesota, Minneapolis, Minnesota
Robin Patel
Affiliation:
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
Ritu Banerjee*
Affiliation:
Division of Pediatric Infectious Diseases, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
*
Division of Pediatric Infectious Diseases, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905 (banerjee.ritu@mayo.edu)
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Abstract

Rectal colonization with multidrug-resistant Enterobacteriaceae was found in 23 of 94 consecutively enrolled international patients hospitalized at Mayo Clinic, Rochester, Minnesota. No carbapenemase producers were detected. Twenty-one isolates were extended-spectrum β-lactamase-producing Escherichia coli. Colonization was associated with gastrointestinal disease and central venous catheter placement within the antecedent year.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue 2 , February 2014 , pp. 182 - 186
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

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References

1. Centers for Disease Control and Prevention (CDC) Health Alert Network. CDC Health Advisory: New Carbapenem-Resistant Enterobacteriaceae Warrant Additional Action by Healthcare Providers. Atlanta: CDC, 2013. http://www.bt.cdc.gov/HAN/han00341.asp. Accessed March 6, 2013.Google Scholar
2. Vasoo, S, Cunningham, SA, Kohner, PC, Lolans, K, Hayden, MK, Patel, R. Rapid and direct real-time detection of bla KPC and bla NDM from surveillance samples. J Clin Microbiol 2013;51:3609–3615.Google Scholar
3. Magiorakos, AP, Srinivasan, A, Carey, RB, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect 2012;18:268–281.Google Scholar
4. Johnson, JR, Urban, C, Weissman, SJ, et al. Molecular epidemiological analysis of Escherichia coli sequence type ST131 (025: H4) and blaCTX-M-15 among extended-spectrum-β-lactamase-producing E. coli from the United States, 2000 to 2009. Antimicrob Agents Chemother 2012;56:2364–2370.Google Scholar
5. Weissman, SJ, Johnson, JR, Tchesnokova, V, et al. High-resolution two-locus clonal typing of extraintestinal pathogenic Escherichia coli . Appl Environ Microbiol 2012;78:1353–1360.Google Scholar
6. Pitout, JD, Campbell, L, Church, DL, Gregson, DB, Laupland, KB. Molecular characteristics of travel-related extended-spectrum-beta-lactamase-producing Escherichia coli isolates from the Calgary Health Region. Antimicrob Agents Chemother 2009;53:2539–2543.Google Scholar
7. Centers for Disease Control and Prevention. Carbapenem-resistant Enterobacteriaceae containing New Delhi metallo-beta-lactamase in two patients-Rhode Island, March 2012. MMWR Morb Mortal Wkly Rep 2012;61:446–448.Google Scholar
8. Centers for Disease Control and Prevention. Notes from the field: hospital outbreak of carbapenem-resistant Klebsiella pneumoniae producing New Delhi metallo-beta-lactamase- Denver, Colorado, 2012. MMWR Morb Mortal Wkly Rep 2012; 62:108.Google Scholar
9. Lowe, CF, Kus, JV, Salt, N, et al. Nosocomial transmission of New Delhi metallo-beta-lactamase-1-producing Klebsiella pneumoniae in Toronto, Canada. Infect Control Hosp Epidemiol 2013; 34:49–55.CrossRefGoogle Scholar
10. Gardam, MA, Burrows, LL, Kus, JV, et al. Is surveillance for multidrug-resistant Enterobacteriaceae an effective infection control strategy in the absence of an outbreak? J Infect Dis 2002; 186: 1754–1760.Google Scholar
11. Lowe, CF, Katz, K, McGeer, AJ, Muller, MP. Efficacy of admission screening for extended-spectrum beta-lactamase producing Enterobacteriaceae. PLoS One 2013;8:e62678.CrossRefGoogle ScholarPubMed
12. Jamal, W, Rotimi, VO, Albert, MJ, Khodakhast, F, Udo, EE, Poirel, L. Emergence of nosocomial New Delhi metallo-beta-lactamase-1 (NDM-1)-producing Klebsiella pneumoniae in patients admitted to a tertiary care hospital in Kuwait. Int J Antimicrob Agents 2012;39:183–184.CrossRefGoogle Scholar