Delayed Diagnosis of High Drug‐Resistant Microorganisms Carriage in Repatriated Patients: Three Cases in a French Intensive Care Unit

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.

Source: Journal of Travel Medicine - January 1, 2015 Category: Infectious Diseases Authors: Jérôme Allyn, Marion Angue, Olivier Belmonte, Nathalie Lugagne, Nicolas Traversier, David Vandroux, Yannick Lefort, Nicolas Allou Tags: BRIEF COMMUNICATION Source Type: research