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Volume 26, Number 11—November 2020

KPC-3–Producing Serratia marcescens Outbreak between Acute and Long-Term Care Facilities, Florida, USA

Adriana JimenezComments to Author , Lilian M. Abbo, Octavio Martinez, Bhavarth Shukla, Kathleen Sposato, Alina Iovleva, Erin Louise Fowler, Christi Lee McElheny, and Yohei Doi
Author affiliations: Jackson Health System, Miami, Florida, USA (A. Jimenez, L. M. Abbo, K. Sposato); Florida International University Robert Stempel College of Public Health and Social Work, Miami (A. Jimenez); U; niversity of Miami Miller School of Medicine, Miami (L. M. Abbo, O. Martinez, B. Shukla); University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA (A. Iovleva, E. L. Fowler, C. L. McElheny, Y. Doi)

Main Article

Table 1

Characteristics of patients with KPC-3–producing Serratia marcescens infection, Miami, Florida, USA*

Characteristic Value, N = 14

5 (35)
9 (65)
Median age
63 (22–89)
Median total length of stay, d
23 (3–74)
Hospital onset
5 (36)
Community onset
9 (64)
Median length of stay to positive culture, d
9 (0–73)
Hemodialysis dependent
7 (50)
Ventilator dependent (tracheostomy)
14 (100)
PEG tube
14 (100)
Positive clinical culture source

Respiratory tract
13 (93)
3 (21)
Clinical infection
10 (71)
9 (90)
Bloodstream infection
4 (40)
4 (29)
Other MDR-GNR isolated

Carbapenem-resistant Pseudomonas 
11 (79)
KPC-producing Klebsiella pneumoniae
1 (7)
Carbapenem-resistant Acinetobacter 
2 (14)
Concurrent condition

5 (36)
Congestive heart failure
3 (21)
Myocardial infarction
1 (7)
7 (50)
1 (21)
2 (14)
8 (57)
Chronic respiratory failure
7 (50)
9 (64)
Discharged disposition

3 (21)
Home with home-healthcare
2 (14)
Back to source LTCF
6 (43)
Other LTCF
3 (21)
*Values are no. (%) except as indicated. COPD, chronic obstructive pulmonary disease; CVA, cerebrovascular accident; ESRD, end-stage renal disease; KPC, Klebsiella pneumoniae carbapenemase; LTCF, long-term care facility; MDR-GNR, multidrug resistant gram-negative rods; PEG, percutaneous endoscopic gastrostomy.

Main Article

Page created: September 15, 2020
Page updated: October 19, 2020
Page reviewed: October 19, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.