title: Latent introduction to the Netherlands of multiple antibiotic resistance including NDM-1 after hospitalisation in Egypt, August 2013.
abstract: We describe the introduction of various multi-drug resistant bacterial strains, including an NDM-1-producing Klebsiella pneumoniae, through a traveller returning from Egypt, where they had been admitted to a private hospital. All family members of the patient were colonised with one or more extended-spectrum beta-lactamase producing strains. These findings emphasise the importance of adherence to isolation precautions for returning patients and suggest the need for inclusion of Enterobacteriaceae in admission screening.
authors.affiliation: Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: Bathoorn
authors.forename: A W
authors.initials: AW
authors.lastname: Friedrich
authors.forename: K
authors.initials: K
authors.lastname: Zhou
authors.forename: J P
authors.initials: JP
authors.lastname: Arends
authors.forename: D M
authors.initials: DM
authors.lastname: Borst
authors.forename: H
authors.initials: H
authors.lastname: Grundmann
authors.forename: J W
authors.initials: JW
authors.lastname: Rossen
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D024901:Drug Resistance, Multiple, Bacterial; D004534:Egypt; D005243:Feces / Q000382:microbiology; D006760:Hospitalization; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000187:drug effects* / Q000201:enzymology / Q000235:genetics / Q000302:isolation & purification*; D008297:Male; D009426:Netherlands; D016133:Polymerase Chain Reaction; D017422:Sequence Analysis, DNA; D014195:Travel; D016896:Treatment Outcome; D018440:beta-Lactam Resistance; D001618:beta-Lactamases
chemical_list: D000900:Anti-Bacterial Agents; D001618:beta-Lactamases; C552864:beta-lactamase NDM-1