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High prevalence of ESBL-positive bacteria in an obstetrics emergency hospital and neonatal care unit—Haiti, 2016

Published online by Cambridge University Press:  30 August 2018

Katerina Chaintarli
Affiliation:
European Programme for Intervention Epidemiology Training (EPIET), European Center for Disease Prevention and Control (ECDC), Solna, Sweden Health Protection Surveillance Center, Dublin, Ireland Médecins Sans Frontières Operational Centre Amsterdam, Port au Prince, Haiti
Annick Lenglet*
Affiliation:
European Programme for Intervention Epidemiology Training (EPIET), European Center for Disease Prevention and Control (ECDC), Solna, Sweden Radboud University Medical Center, Nijmegen, The Netherlands Médecins Sans Frontières, Operational Centre Amsterdam, Amsterdam, The Netherlands
Bregeneve Dabord Beauzile
Affiliation:
Médecins Sans Frontières Operational Centre Amsterdam, Port au Prince, Haiti
Rodnie Senat-Delva
Affiliation:
Médecins Sans Frontières Operational Centre Amsterdam, Port au Prince, Haiti
Marie-Marcelle Mabou
Affiliation:
The Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections, Port au Prince, Haiti
Chiara Martino
Affiliation:
Médecins Sans Frontières, Operational Centre Amsterdam, Amsterdam, The Netherlands
Marine Berthet
Affiliation:
Médecins Sans Frontières Operational Centre Amsterdam, Port au Prince, Haiti
Sidney Wong
Affiliation:
Médecins Sans Frontières, Operational Centre Amsterdam, Amsterdam, The Netherlands
Joost Hopman
Affiliation:
Radboud University Medical Center, Nijmegen, The Netherlands Médecins Sans Frontières, Operational Centre Amsterdam, Amsterdam, The Netherlands
*
Author for correspondence: Annick Lenglet, Médecins Sans Frontières, Operational Centre Amsterdam, Plantage Middenlaan 14, 1018 DD, Amsterdam. E-mail: [email protected]

Abstract

A point-prevalence survey of mothers and neonates admitted to an obstetrics emergency hospital in Port-au-Prince, Haiti, revealed that 13 of 127 gram-negative bacteria isolates (10%) from rectal swabs were ESBL-positive in women and 30 of 59 gram-negative bacteria isolates (51%) from rectal swabs were ESBL-positive in neonates. Length of hospital stay and antibiotic consumption were risk factors for ESBL colonization.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

1. Reddy, P, Malczynski, M, Obias, A, et al. Screening for extended-spectrum β-lactamase-producing enterobacteriaceae among high-risk patients and rates of subsequent bacteremia. Clin Infect Dis 2007;45:846852.Google Scholar
2. Lenglet, A, Faniyan, O, Hopman, J. A nosocomial outbreak of clinical sepsis in a neonatal care unit (NCU) in Port-Au-Prince Haiti, July 2014 – September 2015. PLoS Curr 2018. doi: 10.1371/currents.outbreaks.58723332ec0de952adefd9a9b6905932.Google Scholar
3. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing (M100-S25). Wayne, PA: CLSI; 2015.Google Scholar
4. Sommaire: La Comité de l’Antibiogramme de la Société Française Microbiologie. Société Française de Microbiologie website. http://www.sfm-microbiologie.org/UserFiles/files/casfm/CASFM2013vjuin.pdf. Published 2013. Accessed August 13, 2018.Google Scholar
5. Barrett, E, Kerr, C, Murphy, K, et al. The individual-specific and diverse nature of the preterm infant microbiota. Arch Dis Child 2013;98:F334F340.Google Scholar
6. Cassettari, VC, da Silveira, IR, Dropa, M, et al. Risk factors for colonisation of newborn infants during an outbreak of extended-spectrum β-lactamase–producing Klebsiella pneumoniae in an intermediate-risk neonatal unit. J Hosp Infect 2009;71:340347.Google Scholar
7. Harris, AD, McGregor, JC, Johnson, JA, et al. Risk factors for colonization with extended-spectrum β-lactamase–producing bacteria and intensive care unit admission. Emerg Infect Dis 2007;13:11441149.Google Scholar
8. Moise, K, Bernard, JJ, Henrys, JH. Evaluation of antibiotic self-medication among outpatients of the state university hospital of Port-Au-Prince, Haiti: a cross-sectional study. Pan Afr Med J 2017;28:4.Google Scholar
9. Llata, E, Gaynes, R, Fridkin, S. Measuring the scope and magnitude of hospital-associated infection in the United States: the value of prevalence surveys. Clin Infect Dis 2009;48:14341440.Google Scholar