Delayed diagnosis of high drug-resistant microorganisms carriage in repatriated patients: three cases in a French intensive care unit.
We report three cases of high drug-resistant microorganisms (HDRMO) carriage by patients repatriated from a foreign country. National recommendations suggest systematic screening and contact isolation pending results of admission screening of all patients recently hospitalized abroad. HDRMO carriage (carbapenem-resistant Acinetobacter baumanii and carbapenemase-producing Enterobacteriaceae) was not isolated on admission screening swabs, but later between 3 and 8 days after admission. In absence of cross-transmission, two hypotheses seem possible: a false-negative test on admission, or a late onset favored by antibiotic pressure. Prolonged isolation may be discussed even in case of negative screening on admission from high-risk patients.
Intensive Care Unit.
Jérôme
J
Allyn
Marion
M
Angue
Olivier
O
Belmonte
Nathalie
N
Lugagne
Nicolas
N
Traversier
David
D
Vandroux
Yannick
Y
Lefort
Nicolas
N
Allou
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002353:Carrier State; D003428:Cross Infection; D057210:Delayed Diagnosis; D024901:Drug Resistance, Multiple, Bacterial; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D005188:False Negative Reactions; D005602:France; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D014195:Travel
D000900:Anti-Bacterial Agents