title: Early identification and control of carbapenemase-producing Klebsiella pneumoniae, originating from contaminated endoscopic equipment.
abstract: Klebsiella producing carbapenemase is an emerging pathogen. We report transmission of this organism by contaminated endoscopic instruments. Quick identification of source, staff education, contact precautions, and emphasis on hand and environmental hygiene led to case control and prevention of outbreak.
authors.affiliation: Department of Infectious Diseases and International Medicine, University of South Florida, College of Medicine, Tampa, FL, USA. Sallietee@pol.net
authors.forename: Sally F
authors.initials: SF
authors.lastname: Alrabaa
authors.forename: Phuong
authors.initials: P
authors.lastname: Nguyen
authors.forename: Roger
authors.initials: R
authors.lastname: Sanderson
authors.forename: Aliyah
authors.initials: A
authors.lastname: Baluch
authors.forename: Ramon L
authors.initials: RL
authors.lastname: Sandin
authors.forename: Danashree
authors.initials: D
authors.lastname: Kelker
authors.forename: Chaitanya
authors.initials: C
authors.lastname: Karlapalem
authors.forename: Peggy
authors.initials: P
authors.lastname: Thompson
authors.forename: Kay
authors.initials: K
authors.lastname: Sams
authors.forename: Stacy
authors.initials: S
authors.lastname: Martin
authors.forename: Jose
authors.initials: J
authors.lastname: Montero
authors.forename: John N
authors.initials: JN
authors.lastname: Greene
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001426:Bacterial Proteins / Q000096:biosynthesis; D015780:Carbapenems; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D004196:Disease Outbreaks / Q000517:prevention & control; D024881:Drug Resistance, Bacterial; D004724:Endoscopy / Q000009:adverse effects*; D004866:Equipment Contamination / Q000517:prevention & control*; D005260:Female; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007710:Klebsiella Infections / Q000175:diagnosis / Q000382:microbiology* / Q000517:prevention & control*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D001618:beta-Lactamases / Q000096:biosynthesis
chemical_list: D000900:Anti-Bacterial Agents; D001426:Bacterial Proteins; D015780:Carbapenems; D001618:beta-Lactamases; C063912:carbapenemase