Delayed diagnosis of high drug-resistant microorganisms carriage in repatriated patients: three cases in a French intensive care unit

Journal of Travel Medicine
Jérôme AllynNicolas Allou

Abstract

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.

References

Apr 4, 2003·International Journal of Antimicrobial Agents·UNKNOWN Members of the SFM Antibiogram Committee
Nov 4, 2004·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·A M KaiserC Vandenbroucke-Grauls
Oct 10, 2006·International Journal of Antimicrobial Agents·Danièle MeunierJean-Yves Madec
Dec 26, 2008·The Journal of Antimicrobial Chemotherapy·Elisabete MachadoLuísa Peixe
Sep 8, 2011·Journal of Travel Medicine·Neil Woodford
Sep 13, 2011·American Journal of Infection Control·Victor D RosenthalUNKNOWN INICC members
Jun 9, 2012·The Journal of Antimicrobial Chemotherapy·Akke K van der Bij, Johann D D Pitout
Jul 30, 2014·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·G BirgandJ C Lucet

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Citations

Aug 12, 2016·Journal of Clinical Microbiology·Jolene R BowersPaul Keim
Jan 21, 2021·Tropical Medicine and Infectious Disease·Hamid BokharyGrant A Hill-Cawthorne

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