Household transmission of NDM-producing E. coli in New Zealand.
This report describes the introduction of an extensively antibiotic-resistant carbapenemase-producing Escherichia coli into a hospital in Auckland, New Zealand, by a patient who was a household contact of recent travellers to the Indian subcontinent. The carbapenemase was identified as New Delhi metallo-β-lactamase (NDM) and reflects probable household transmission in the context of a recent upsurge in NDM-producing Enterobacteriaceae isolation in New Zealand. The observations in this report suggest that hospital screening practices to identify carbapenemase-producing Enterobacteriaceae (CPE) colonised patients may need to be extended to include travellers to high-risk countries who were not hospitalised during their trip, and possibly also their close contacts.
Microbiology Department, LabPlus, Auckland City Hospital, Auckland.
Matthew
M
Blakiston
Microbiology Department, LabPlus, Auckland City Hospital, Auckland.
Sally A
SA
Roberts
Microbiology Department, LabPlus, Auckland City Hospital, Auckland.
Joshua T
JT
Freeman
Institute of Environmental Science and Research, Porirua.
Helen
H
Heffernan
D002353:Carrier State / Q000382:microbiology* / Q000635:transmission; D004926:Escherichia coli / Q000235:genetics* / Q000378:metabolism; D004927:Escherichia coli Infections / Q000382:microbiology* / Q000635:transmission; D005190:Family; D005191:Family Characteristics; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D008403:Mass Screening; D009520:New Zealand; D060888:Real-Time Polymerase Chain Reaction; D019032:Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization; D055815:Young Adult; D001618:beta-Lactamases / Q000235:genetics* / Q000378:metabolism
D001618:beta-Lactamases; C552864:beta-lactamase NDM-1