Carbapenemase-Producing Enterobacteriaceae in Intensive Care Unit: How to Manage the Risk ?

被引:0
作者
Zahar, J-R [1 ,2 ]
Mootien, J-Y [3 ]
Pilmis, B. [4 ]
机构
[1] Univ Paris XIII, UMR 1137, LAME, Sorbonne Paris Cite, 16 Rue Henri Huchard, F-75018 Paris, France
[2] Grp Hosp Paris Seine St Denis, AP HP, Dept Microbiol Clin, Unite Controle & Prevent Risque Infect, 125 Rue Stalingrad, F-93000 Bobigny, France
[3] Grp Hosp Reg Mulhouse & Sud Alsace, Unite Conseil Antibiotherapie, Serv Reanimat Med, 20 Ave Docteur Rene Laennec, F-68100 Mulhouse, France
[4] Grp Hosp Paris St Joseph, Equipe Mobile Infectiol, Lab Microbiol, 185 Rue Raymond Losserand, F-75014 Paris, France
来源
REANIMATION | 2018年 / 27卷 / 04期
关键词
Carbapenemase-producing Enterobacteriaceae; Multidrug-resistant bacteria; Infection control measures; Optimizing antibiotic consumption;
D O I
10.3166/rea-2018-0057
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The global widespread of carbapenemase-producing enterobacteriaceae, particularly in the Mediterranean area is a challenging situation that needs to keep us alert. Three principal mechanism of resistance, displaying variable expression, are described here in this article. Identifying patient at risk, improving the quality of our microbiological diagnosis and containing the widespread of the resistance in healthcare facilities are essential to help keeping this problem under control. Improvement of hand hygiene compliance, respect of hygiene precaution procedures, and optimizing antibiotic consumption are more than necessary.
引用
收藏
页码:367 / 371
页数:5
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