Service de Biologie Clinique, Hôpital Foch, Suresnes, France.
Service de Biologie Clinique, Hôpital Foch, Suresnes, France.
Am J Infect Control. 2020 Dec;48(12):1533-1536. doi: 10.1016/j.ajic.2020.09.015. Epub 2020 Oct 2.
In the hospital department dedicated to COVID-19-patient, infection prevention and control measures were upgraded. Therefore, the cross-transmission of other micro-organisms was thought unlikely to occur. However, we report an outbreak of NDM-5-producing Escherichia. coli in a 12-beds ICU dedicated to COVID-19 patients. This outbreak involved 6 patients of which 5 were asymptomatic carriers and 1 was infected. Several findings might have contributed to cross-transmission including the multiple-bedroom configuration of the department, uncomplete compliance for standard and contact precautions, overwork due to the burden of the disease, lack of training of staff for the care of ICU-patients, and misuse of gloves. Furthermore, as infection prevention and control measures were thought to be applied, contact patients were not screened for eXDR carriage. Applying rigorously standard and contact precautions and performing screening in contact patients when indicated must be the rules in COVID-19 wards.
在专门收治 COVID-19 患者的医院科室，感染预防和控制措施得到了升级。因此，其他微生物的交叉传播不太可能发生。然而，我们报告了一起在专门收治 COVID-19 患者的 12 张病床 ICU 中发生的产 NDM-5 型大肠埃希菌的暴发。该暴发涉及 6 名患者，其中 5 名无症状携带者，1 名感染者。多个因素可能导致了交叉传播，包括科室的多床位配置、标准和接触预防措施的不完全遵守、由于疾病负担导致的过度劳累、对 ICU 患者护理人员的培训不足以及手套的误用。此外，由于感染预防和控制措施被认为已经得到应用，接触患者并未进行 XDR 携带筛查。在 COVID-19 病房中，严格遵守标准和接触预防措施，并在需要时对接触患者进行筛查，必须成为规定。
