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A patient sink tap facilitating carbapenemase-producing enterobacterales transmission

Published:December 24, 2019DOI:https://doi.org/10.1016/j.jhin.2019.12.020
      Carbapenemase-producing enterobacterales (CPE) may colonize the gut, but can also carry multi-drug-resistant markers often associated with increased mortality [
      • Falagas M.E.
      • Tansarli G.S.
      • Karageorgopoulos D.E.
      • Vardakas K.Z.
      Deaths attributable to carbapenem-resistant enterobacteriaceae infections.
      ]. The incidence of CPE is increasing [
      • Albiger B.
      • Glasner C.
      • Struelens M.J.
      • Grundmann H.
      • Monnet D.L.
      • Koraqi A.
      • et al.
      Carbapenemase-producing Enterobacteriaceae in Europe: Assessment by national experts from 38 countries.
      ] with risk factors including prior hospitalization (in hospitals where CPE is endemic), critical illness, use of invasive devices, exposure to broad-spectrum antibiotics and international travel [
      • Sánchez-Romero I.
      • Asensio Á.
      • Oteo J.
      • Muñoz-Algarra M.
      • Isidoro B.
      • Vindel A.
      • et al.
      Nosocomial outbreak of VIM-1-producing Klebsiella pneumoniae isolates of multilocus sequence type 15: Molecular basis, clinical risk factors, and outcome.
      ,
      • Rossini A.
      • Di Santo S.G.
      • Libori M.F.
      • Tiracchia V.
      • Balice M.P.
      • Salvia A.
      Risk factors for carbapenemase-producing Enterobacteriaceae colonization of asymptomatic carriers on admission to an Italian rehabilitation hospital.
      ]. CPE may be spread by lapses in hand hygiene, the ward environment or colonization via water. Previous research has shown evidence of carbapenemase-producing Klebsiella pneumoniae being spread from basin to patient [
      • Kizny Gordon A.E.
      • Mathers A.J.
      • Cheong E.Y.L.
      • Gottlieb T.
      • Kotay S.
      • Walker A.S.
      • et al.
      The hospital water environment as a reservoir for carbapenem-resistant organisms causing hospital-acquired infections – a systematic review of the literature.
      ].
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