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. 2014 Aug;42(8):929-31.
doi: 10.1016/j.ajic.2014.04.015. Epub 2014 Jun 18.

Rapid containment of coincident outbreaks with 2 carbapenem-resistant Klebsiella pneumoniae strains in an intensive care unit

Agnès Meybeck  1 , Caroline Laurans  2 , Céline Broucqsault-Dedrie  3 , Clément Vanbaelinghem  3 , Isabelle Verheyde  3 , Rita Ledez  2 , Martine Nyunga  3 , Sandrine Nottebaert  2 , Sylvaine Waes  2 , Anne Vachée  4
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Rapid containment of coincident outbreaks with 2 carbapenem-resistant Klebsiella pneumoniae strains in an intensive care unit

Agnès Meybeck et al. Am J Infect Control. 2014 Aug.

Abstract

In our intensive care unit, coincident outbreaks were caused by concomitant cross-transmission of 2 carbapenem-resistant Klebsiella pneumoniae strains harboring distinct mechanisms of resistance. One strain produced extended-spectrum ß-lactamase in combination with reduced permeability. The other produced oxacillinase-48 carbapenemase. Rapid phenotypic detection of carbapenemase production allowed timely implementation of appropriate infection control measures.

Keywords: Carbapenem; Klebsiella pneumoniae; Resistance.

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