Volume 20, Number 7—July 2014
Letter
Carbapenemase-producing Bacteria in Patients Hospitalized Abroad, France
Table
Clinical and laboratory data on 33 patients hospitalized in France who were previously hospitalized in other countries and were carrying carbapenemase-producing bacteria, glycopeptide-resistant enterococci, or both*
Patient no. |
Year of initial hospital admission |
Patient transfer status |
Country of hospitalization |
Species of infection |
β-lactamase content | Glycopeptide resistance gene |
|
---|---|---|---|---|---|---|---|
ESBL |
Carbapenemase |
||||||
1† | 2010 | DT | Egypt | E. coli | Pos | OXA-48 | |
2† | 2010 | DT | Thailand | A. baumannii | Pos | OXA-23 | |
3† | 2010 | DT | Iraq | A. baumannii | Neg | OXA-23 | |
E. faecium | vanA‡ | ||||||
4 | 2010 | NDT | USA | E. faecium | vanA | ||
5 | 2011 | NDT | Morocco | K. pneumoniae | Neg | OXA-48 | |
K. pneumoniae | Neg | OXA-48 | |||||
6† | 2011 | DT | Senegal | K. pneumoniae | Pos | OXA-48 | |
7 | 2011 | DT | Congo | E. faecium | vanA‡ | ||
8† | 2011 | NDT | Benin | A. baumannii | Neg | OXA-23‡ | |
9 | 2011 | NDT | Kuwait | P. aeruginosa | Neg | VIM-2 | |
10† | 2011 | NDT | Kuwait | K. pneumoniae | Neg | OXA-48 | |
11† | 2011 | NDT | Kuwait | P. aeruginosa | Neg | VIM-2 | |
12† | 2011 | NDT | Kuwait | E. faecium | vanA | ||
13† | 2011 | DT | Libya | K. pneumoniae | Pos | OXA-48 | |
14† | 2011 | DT | Libya | E. coli | Pos | OXA-48 | |
K. pneumoniae | Pos | OXA-48 | |||||
A. baumannii | Neg | OXA-23 | |||||
E. faecium | vanA | ||||||
15 | 2011 | NDT | Saudi Arabia | E. faecium | vanA | ||
16† | 2011 | NDT | Pakistan | E. faecium | vanA | ||
17 | 2011 | NDT | Italy | A. baumannii | Neg | OXA-23 | |
K. pneumoniae | Neg | KPC-3 | |||||
18† | 2011 | DT | Spain | K. pneumoniae | Neg | OXA-48 | |
19 | 2011 | NDT | Israel | K. pneumoniae | Neg | KPC-3 | |
20† | 2012 | DT | Egypt | A. baumannii | Neg | NDM-1 | |
A. baumannii | Neg | NDM-1 | |||||
P. putida | Neg | VIM-2 | |||||
21† | 2012 | DT | Tunisia | E. coli | Pos | OXA-48 | |
K. pneumoniae | Pos | OXA-48 | |||||
K. pneumoniae | Neg | OXA-48 | |||||
22† | 2012 | NDT | Tunisia | A. baumannii | Neg | OXA-23 | |
23† | 2012 | DT | India | E. coli | Neg | NDM-1 | |
M. morgannii | Pos | NDM-1 | |||||
P. aeruginosa | Neg | VIM-2 | |||||
24† | 2012 | NDT | Cambodia | E. coli | Neg | NDM-4‡ | |
E. coli | Pos | OXA-48‡ | |||||
25† | 2012 | DT | Sri Lanka | E. coli | Pos | OXA-48‡ | |
K. pneumoniae | Pos | OXA-181‡ | |||||
26 | 2013 | NDT | Algeria | E. coli | Neg | OXA-48 | |
27† | 2013 | NDT | Algeria | E. coli | Neg | OXA-48 | |
28 | 2013 | DT | Tunisia | A. baumannii | Neg | NDM-1 | |
29† | 2013 | DT | Libya | K. pneumoniae | Pos | OXA-48 | |
30 | 2013 | DT | Libya | K. pneumoniae | Pos | OXA-48 | |
K. pneumoniae | Pos | OXA-48 | |||||
31 | 2013 | NDT | India | E. coli | Pos | OXA-181 | |
E. coli | Neg | NDM-7‡ | |||||
K. pneumoniae | Neg | NDM-7‡ | |||||
32 | 2013 | NDT | Georgia | P. aeruginosa | Pos | VIM-2‡ | |
33† | 2013 | DT | Montenegro | E. faecium | vanA‡ |
*ESBL, extended-spectrum β-lactamase; DT, direct transfer from hospital abroad to HEGP; E. coli, Echerichia coli; Pos, positive; A. baumannii, Acinetobacter baumannii; Neg, negative; E. faecium, Enterococcus faecium; NDT, nondirect transfer (hospitalized abroad within 12 mo before transfer to HEGP); K. pneumoniae, Klebsiella pneumoniae; P. aeruginosa; Pseudomonas aeruginosa; P. putida, Pseudomonas putida; M. morganii, Morganella morganii.
†Patient carrying an ESBL producer in addition to the carbapenemase-producing bacteria and/or glycopeptide-resistant enterococci.
‡Resistance gene not reported previously in the country of initial hospitalization.