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黎巴嫩一家三级护理医院重症监护病房中 XDR-ST2 爆发的调查。

Investigation of an XDR- ST2 outbreak in an intensive care unit of a Lebanese tertiary care hospital.

机构信息

Laboratoire Microbiologie Santé et Environnement (LMSE), Doctoral School of Science & Technology, Faculty of Public Health, Lebanese University, Tripoli, Lebanon.

Aix-Marseille University, IRD, APHM, MEPHI, IHU Méditerranée infection, Faculté de Médecine et de Pharmacie, 19-21 boulevard Jean Moulin, 13385 Marseille CEDEX 05, France.

出版信息

Future Microbiol. 2020 Oct;15:1535-1542. doi: 10.2217/fmb-2020-0079. Epub 2020 Nov 20.

Abstract

We sought to investigate the genetic epidemiological relatedness of carbapenem-resistant (CRAB) strains of a suspected outbreak in a Lebanese tertiary care hospital to implement necessary infection prevention and control measures. Twenty-eight nonduplicate CRAB isolates detected among hospitalized patients between January 2016 and July 2017 were studied by real-time polymerase chain reaction (PCR), pulsed-field gel electrophoresis and multilocus sequence typing analyses. Twenty-seven isolates harbored , of which one also carried . The isolates distributed temporally in two presumably episodes were stratified by pulsed-field gel electrophoresis into many clusters. Although several clones have become endemic in the hospital, we have rapidly implemented appropriate infection prevention and control measures, achieving full eradication from August 2017 to November 2019. We have successfully investigated and controlled a polyclonal outbreak of OXA-23 producing ST2 CRAB.

摘要

我们旨在调查一家黎巴嫩三级保健医院疑似暴发的耐碳青霉烯肠杆菌科(CRAB)菌株的遗传流行病学相关性,以便实施必要的感染预防和控制措施。2016 年 1 月至 2017 年 7 月期间,对住院患者中检测到的 28 株非重复耐碳青霉烯 CRAB 分离株进行了实时聚合酶链反应(PCR)、脉冲场凝胶电泳和多位点序列分型分析。27 株分离株携带,其中 1 株还携带。脉冲场凝胶电泳将分离株分为多个聚类,这些分离株按时间分布在两个假定的暴发事件中。尽管有几个克隆在医院中已经流行,但我们已迅速采取适当的感染预防和控制措施,从 2017 年 8 月至 2019 年 11 月成功将其完全消除。我们成功调查和控制了产 OXA-23 的 ST2 CRAB 的多克隆暴发。

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