PMID- 35167899
OWN - NLM
STAT- Publisher
LR  - 20231013
IS  - 1527-3296 (Electronic)
IS  - 0196-6553 (Linking)
VI  - 50
IP  - 11
DP  - 2022 Nov
TI  - Carbapenemase-producing Enterobacterales and vancomycin-resistant Enterococcus 
      faecium carriage in patients who have traveled in foreign countries: A single 
      center 5-year prospective study.
PG  - 1234-1239
LID - S0196-6553(22)00077-3 [pii]
LID - 10.1016/j.ajic.2022.01.031 [doi]
AB  - BACKGROUND: Numerous patients carrying carbapenemase-producing Enterobacterales 
      (CPE) and/or vancomycin-resistant Enterococcus faecium (VRE) in France have 
      previously travelled abroad. The risk of spreading CPE/VRE by patients who have 
      stayed abroad without hospitalization is underexplored. This prompted us to 
      screen and isolate all patients who travelled abroad in the previous 12 months 
      upon admission to our hospital. Our aim was to evaluate the efficiency of this 
      CPE/VRE-related risk policy. METHODS: From 2014 to 2018, patients who had 
      travelled abroad in the previous year before their admission underwent 
      microbiological screening and were pre-emptively isolated. Contact precautions 
      were verified and CPE/VRE cross-transmission events investigated. RESULTS: Among 
      1,780 screened patients, 59 (3.3%) were colonized with CPE and/or VRE, of whom 17 
      (29.3%) were not hospitalized abroad. Nine generated 18 readmissions. No episodes 
      of CPE/VRE cross-transmission were related to patients with a stay abroad without 
      hospitalization, whereas 2 patients hospitalized abroad generated one episode 
      each, despite implementation of contact precautions reaching values from 73.6% to 
      87.5%. DISCUSSION: Throughout 17 admissions and 18 readmissions, patients who 
      stayed abroad without hospitalization represented a true risk of spreading 
      CPE/VRE, without generating cross-transmission. CONCLUSIONS: Our strategy of 
      CPE/VRE-related risk policy is successful.
CI  - Copyright (c) 2022 Association for Professionals in Infection Control and 
      Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
FAU - Lomont, A
AU  - Lomont A
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France.
FAU - Sevin, T
AU  - Sevin T
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France.
FAU - Assouvie, L
AU  - Assouvie L
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France.
FAU - Dalix, A
AU  - Dalix A
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France.
FAU - Assoukpa, J
AU  - Assoukpa J
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France.
FAU - Lecuru, M
AU  - Lecuru M
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France.
FAU - Lecointe, D
AU  - Lecointe D
AD  - Service d'Hygiene, Prevention et Controle des Infections, Centre Hospitalier Sud 
      Francilien, Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, France. 
      Electronic address: didier.lecointe@chsf.fr.
LA  - eng
PT  - Journal Article
DEP - 20220212
PL  - United States
TA  - Am J Infect Control
JT  - American journal of infection control
JID - 8004854
SB  - IM
OTO - NOTNLM
OT  - Contact precautions
OT  - Cross transmission
OT  - Rectal screening
OT  - Survey policy
EDAT- 2022/02/16 06:00
MHDA- 2022/02/16 06:00
CRDT- 2022/02/15 20:12
PHST- 2021/11/02 00:00 [received]
PHST- 2022/01/31 00:00 [revised]
PHST- 2022/01/31 00:00 [accepted]
PHST- 2022/02/16 06:00 [pubmed]
PHST- 2022/02/16 06:00 [medline]
PHST- 2022/02/15 20:12 [entrez]
AID - S0196-6553(22)00077-3 [pii]
AID - 10.1016/j.ajic.2022.01.031 [doi]
PST - ppublish
SO  - Am J Infect Control. 2022 Nov;50(11):1234-1239. doi: 10.1016/j.ajic.2022.01.031. 
      Epub 2022 Feb 12.