AI Article Synopsis
- A case study reported a patient in Auckland, New Zealand, who introduced a highly antibiotic-resistant strain of E. coli, linked to recent travelers from the Indian subcontinent.
- The strain identified was New Delhi metallo-β-lactamase (NDM), indicating potential household transmission due to increased cases of NDM-producing bacteria in New Zealand.
- The findings suggest that hospitals should revise screening practices to include not just recently hospitalized travelers from high-risk countries, but also their close contacts, to better identify colonized patients.
Article Abstract
This report describes the introduction of an extensively antibiotic-resistant carbapenemase-producing Escherichia coli into a hospital in Auckland, New Zealand, by a patient who was a household contact of recent travellers to the Indian subcontinent. The carbapenemase was identified as New Delhi metallo-β-lactamase (NDM) and reflects probable household transmission in the context of a recent upsurge in NDM-producing Enterobacteriaceae isolation in New Zealand. The observations in this report suggest that hospital screening practices to identify carbapenemase-producing Enterobacteriaceae (CPE) colonised patients may need to be extended to include travellers to high-risk countries who were not hospitalised during their trip, and possibly also their close contacts.
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