title: NDM-1- or OXA-48-producing Enterobacteriaceae colonising Polish tourists following a terrorist attack in Tunis, March 2015.
abstract: We describe the introduction of NDM-1-producing Klebsiella pneumoniae ST147 and Escherichia coli ST410, and OXA-48-producing K. pneumoniae ST101 strains to Poland by two patients transported to the country after hospitalisation in Tunisia. The patients had gunshot wounds following the terrorist attack in the Bardo National Museum in Tunis in March 2015. Our report reinforces the need for microbiological screening of patients returning from travel on admission to healthcare institutions, especially following hospitalisation in countries where carbapenemase-producing Enterobacteriaceae are endemic.
authors.affiliation: National Reference Centre for Susceptibility Testing & Department of Molecular Microbiology, National Medicines Institute, Warsaw, Poland.
authors.forename: R
authors.initials: R
authors.lastname: Izdebski
authors.forename: K
authors.initials: K
authors.lastname: Bojarska
authors.forename: A
authors.initials: A
authors.lastname: Baraniak
authors.forename: E
authors.initials: E
authors.lastname: Literacka
authors.forename: M
authors.initials: M
authors.lastname: Herda
authors.forename: D
authors.initials: D
authors.lastname: Żabicka
authors.forename: A
authors.initials: A
authors.lastname: Guzek
authors.forename: M
authors.initials: M
authors.lastname: Półgrabia
authors.forename: W
authors.initials: W
authors.lastname: Hryniewicz
authors.forename: M
authors.initials: M
authors.lastname: Gniadkowski
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D004755:Enterobacteriaceae / Q000145:classification / Q000201:enzymology / Q000235:genetics / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000382:microbiology*; D004926:Escherichia coli / Q000201:enzymology* / Q000302:isolation & purification*; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis / Q000188:drug therapy; D007711:Klebsiella pneumoniae / Q000201:enzymology* / Q000302:isolation & purification*; D008297:Male; D008875:Middle Aged; D058885:Multilocus Sequence Typing; D010121:Oxytocin / Q000031:analogs & derivatives* / Q000235:genetics / Q000378:metabolism; D011044:Poland; D016133:Polymerase Chain Reaction; D014195:Travel; D016896:Treatment Outcome; D014416:Tunisia; D001618:beta-Lactamases / Q000235:genetics / Q000378:metabolism*
chemical_list: D000900:Anti-Bacterial Agents; D010121:Oxytocin; C015692:oxytocin, Asp(5)-; D001618:beta-Lactamases; C552864:beta-lactamase NDM-1