Asymptomatic rectal colonization with carbapenem-resistant Enterobacteriaceae and Clostridium difficile among residents of a long-term care facility in New York City

2016 ◽  
Vol 44 (5) ◽  
pp. 525-532 ◽  
Author(s):  
Nishant Prasad ◽  
Georges Labaze ◽  
Joanna Kopacz ◽  
Sophie Chwa ◽  
Dimitris Platis ◽  
...  
2015 ◽  
Vol 53 (9) ◽  
pp. 2823-2826 ◽  
Author(s):  
Vincent J. LaBombardi ◽  
Carl M. Urban ◽  
Barry N. Kreiswirth ◽  
Liang Chen ◽  
Giuliana Osorio ◽  
...  

We compared the Remel Spectra CRE agar plate to CDC standard methodology for the isolation of carbapenem-resistantEnterobacteriaceae(CRE) from 300 rectal swab specimens obtained from patients residing in a long-term-care facility (LTCF). Multiplex PCR experiments were performed on isolates to identify specificKlebsiella pneumoniaecarbapenemases (KPC) and additional β-lactamases. Of the 300 patients, 72 (24%) harbored CRE and were PCR positive for KPC enzymes. The Remel Spectra CRE plates detected KPC-type CRE in isolates from 70 of 72 patients (97.2%), while the CDC method detected CRE in 56 of 72 (77.8%). CRE identification results were available in 18 h compared to 36 h for the CDC method. Remel Spectra CRE agar plates can provide useful means for a fast and reliable method for detecting KPC-type CRE and for accelerated institution of appropriate infection control precautions.


Author(s):  
Leore Cohen Mendel ◽  
Keren Amity ◽  
David E. Katz ◽  
Tsilia Lazarovitch ◽  
Ronit Zaidenstein ◽  
...  

Abstract A case–case–control investigation (216 patients) examined the risk factors and outcomes of carbapenem-resistant Enterobacter (CR-En) acquisition. Recent exposure to fluoroquinolones, intensive care unit (ICU) stay, and rapidly fatal McCabe condition were independent predictors for acquisition. Acquiring CR-En was independently associated with discharge to a long-term care facility after being admitted from home.


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