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Imipenemase-producing carbapenem-resistant Enterobacteriaceae transmission in a long-term-care facility during a community-wide multidrug resistant organism outbreak-North Carolina, 2017

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AMERICAN JOURNAL OF INFECTION CONTROL
卷 48, 期 3, 页码 320-323

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MOSBY-ELSEVIER
DOI: 10.1016/j.ajic.2019.05.022

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Antimicrobial resistance; Health care-associated; Infection prevention; Carbapenemase-producing carbapenem-resistant Enterobacteriaceae

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We describe an outbreak of imipenemase metallo-beta-lactamase-producing organisms in a long-term-care facility (LTCF) amid a larger community outbreak of extended-spectrum beta-lactamase-producing organisms. Transmission was propagated by inadequate infection prevention practices. We provided infection prevention recommendations and education, facilitated colonization screening, and increased interfacility communication. This outbreak demonstrates the unmet need for infection prevention education in long-term-care facilities and the importance of prompt public health response to ensure appropriate identification, containment, and prevention of emerging resistance. Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.

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