A M Holman1, J Allyn1, G Miltgen2, N Lugagne3, N Traversier2, S Picot4, A Lignereux5, C Oudin6, O Belmonte2, N Allou7. 1. Réanimation polyvalente, centre hospitalier universitaire Felix-Guyon, allée des Topazes, 97405 Saint-Denis, Réunion. 2. Bacteriologie, centre hospitalier universitaire Felix-Guyon, allée des Topazes, 97405 Saint-Denis, Réunion. 3. Unité d'hygiène et de lutte contre les infections hospitalières, centre hospitalier universitaire Felix-Guyon, allée des Topazes, 97405 Saint-Denis, Réunion. 4. Bactériologie, centre hospitalier universitaire Sud Réunion, 97410 Saint-Pierre, Réunion. 5. Biologie, centre hospitalier Gabriel-Martin, 97460 Saint-Paul, Réunion. 6. Comité de lutte contre les infections nosocomiales, groupe hospitalier Est Réunion, 97470 Saint-Benoît, Réunion. 7. Réanimation polyvalente, centre hospitalier universitaire Felix-Guyon, allée des Topazes, 97405 Saint-Denis, Réunion. Electronic address: nicolas.allou@hotmail.fr.
Abstract
BACKGROUND: The aim of this study was to trace the emergence of carbapenemase-producing Enterobacteriaceae (CPE) on Reunion Island, a French overseas territory well suited for the surveillance of CPE emergence in patients from the entire Indian Ocean Region. METHODS: This retrospective multicenter study was conducted on Reunion Island between 2010 and 2015. RESULTS: A total of 43 CPEs were isolated during the course of the study, in 36 patients (50% in the last year alone). Among these patients, 21 had a link with a foreign country (58%), mainly Mauritius (47.6%). Over the same period, CPEs were isolated from 13 of 1735 (0.7%) repatriated patients to Reunion Island from another country of the Indian Ocean Region. The incidence of isolation of CPEs in the repatriated patients treated in Mauritius was higher (9.2%) than in patients treated in Madagascar or the Comoros Islands (<1%, P<0.001). The most commonly isolated microorganism was Klebsiella pneumoniae (39.5%). The most frequently identified carbapenemase was NDM-1 (81.4%); 100% and 56% of the NDM-1 strains were susceptible to tigecycline and colistin, respectively. In-hospital mortality rate was higher in patients presenting with CPE infection than in patients without CPE infection (75% vs. 25%, P=0.04). CONCLUSION: As elsewhere in the world, the number of CPE cases on Reunion Island is on the rise. Most cases involve patients from Mauritius, which justifies screening and isolating CPE in patients from that country.
BACKGROUND: The aim of this study was to trace the emergence of carbapenemase-producing Enterobacteriaceae (CPE) on Reunion Island, a French overseas territory well suited for the surveillance of CPE emergence in patients from the entire Indian Ocean Region. METHODS: This retrospective multicenter study was conducted on Reunion Island between 2010 and 2015. RESULTS: A total of 43 CPEs were isolated during the course of the study, in 36 patients (50% in the last year alone). Among these patients, 21 had a link with a foreign country (58%), mainly Mauritius (47.6%). Over the same period, CPEs were isolated from 13 of 1735 (0.7%) repatriated patients to Reunion Island from another country of the Indian Ocean Region. The incidence of isolation of CPEs in the repatriated patients treated in Mauritius was higher (9.2%) than in patients treated in Madagascar or the Comoros Islands (<1%, P<0.001). The most commonly isolated microorganism was Klebsiella pneumoniae (39.5%). The most frequently identified carbapenemase was NDM-1 (81.4%); 100% and 56% of the NDM-1 strains were susceptible to tigecycline and colistin, respectively. In-hospital mortality rate was higher in patients presenting with CPE infection than in patients without CPE infection (75% vs. 25%, P=0.04). CONCLUSION: As elsewhere in the world, the number of CPE cases on Reunion Island is on the rise. Most cases involve patients from Mauritius, which justifies screening and isolating CPE in patients from that country.
Keywords:
Carbapenemase-producing Enterobacteriaceae; Entérobactérie productrice de carbapénémases; Indian Ocean region; Klebsiella pneumoniae; Océan Indien; Reunion Island; Île de la Réunion
Authors: Katerina Chudejova; Lucie Kraftova; Vittoria Mattioni Marchetti; Jaroslav Hrabak; Costas C Papagiannitsis; Ibrahim Bitar Journal: Front Microbiol Date: 2021-02-09 Impact factor: 5.640
Authors: Tsegaye Sewunet; Daniel Asrat; Yimtubezinash Woldeamanuel; Sofia Ny; Fredrik Westerlund; Abraham Aseffa; Christian G Giske Journal: JAC Antimicrob Resist Date: 2021-02-03