Chari Priyadarshini, Seruga Anna, Nathan Nelson, Bowers David M
Spinal Cord Injury Unit, Royal North Shore Hospital , Sydney, NSW, Australia.
Spinal Cord Ser Cases. 2016 Jul 7;2:16003. doi: 10.1038/scsandc.2016.3. eCollection 2016.
This case report highlights the present threat and challenges with treatment and transmission of infections caused by carbepenem-resistant enterobacteriaceae (CRE) within in-patient spinal rehabilitation units. The setting is within the Spinal Cord Injury Unit, Royal North Shore Hospital, Sydney, Australia. We report the case of a 45-year-old female with T9 complete paraplegia who developed CRE urinary tract infection (UTI) and sepsis 1 month post injury while in an in-patient spinal rehabilitation unit. We describe the challenges in treatment with colistin, the implications of infection on her rehabilitation and challenges in containing the spread of CRE to other patients in the unit. We present our experience with the management of CRE bactaeraemia in a spinal rehabilitation unit and the enhanced importance of infection control and surveillance strategies required to successfully contain risk of transmission.
本病例报告强调了耐碳青霉烯类肠杆菌科细菌（CRE）在住院脊髓康复病房引起感染的治疗及传播方面当前存在的威胁和挑战。地点在澳大利亚悉尼皇家北岸医院的脊髓损伤病房。我们报告了一名45岁女性的病例，该女性T9完全性截瘫，在住院脊髓康复病房受伤后1个月发生了CRE尿路感染（UTI）和脓毒症。我们描述了使用黏菌素治疗的挑战、感染对其康复的影响以及控制CRE在病房内传播给其他患者的挑战。我们介绍了在脊髓康复病房管理CRE菌血症的经验，以及成功控制传播风险所需的感染控制和监测策略的重要性日益增加。
