Delayed Diagnosis of High Drug‐Resistant Microorganisms Carriage in Repatriated Patients: Three Cases in a French Intensive Care Unit. Issue 3 (28th February 2015)

• Record Type: Journal Article
• Authors: Allyn, Jérôme; Angue, Marion; Belmonte, Olivier; Lugagne, Nathalie; Traversier, Nicolas; Vandroux, David; Lefort, Yannick; Allou, Nicolas
• Is Part Of: Journal of travel medicine. Volume 22:Issue 3(2015)
• Page Start: 215
• Page End: 217
• Publication Date: 2015-02-28
• Subjects: Communicable diseases -- Prevention -- Periodicals; Medicine, Preventive -- Periodicals; Travel -- Periodicals; 613.6805
• DOI: 10.1111/jtm.12194
• Languages: English
• ISSNs: 1195-1982

Abstract

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.