An outbreak of colistin-resistant Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae in the Netherlands (July to December 2013), with inter-institutional spread.

We describe an outbreak of Klebsiella pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae (KPC-KP) ST258 that occurred in two institutions (a hospital and a nursing home) in the Netherlands between July and December 2013. In total, six patients were found to be positive for KPC-KP. All isolates were resistant to colistin and exhibited reduced susceptibility to gentamicin and tigecycline.

Otoacoustic emission measurements in evaluation of the immediate effect of ventilation tube insertion in children.

It is generally acknowledged that hearing assessment is needed before and after possible surgical intervention in children with otitis media with effusion. The conventional method in young children is visual reinforcement audiometry, which requires much time and cooperation from the child. The assessment of otoacoustic emissions may be an alternative, as it is proven to be rapid, easy, and objective as a screening procedure.