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Increasing incidence of carbapenemase-producing Escherichia coli and Klebsiella pneumoniae in Belgian hospitals.

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De Laveleye, Morgane [UCL] Huang, Te-Din [UCL] Bogaerts, Pierre [UCL] Berhin, Catherine [UCL] Bauraing, Caroline [UCL] Sacré, Pierre [UCL] Noel, Audrey [UCL] Glupczynski, Gerald [UCL]

Carbapenemase-producing Enterobacteriaceae are increasingly reported worldwide. The aim of the study was to determine the incidence and molecular epidemiology of carbapenemase-producing (CP) Escherichia coli and Klebsiella pneumoniae (CP-E/K) in Belgium. Eleven hospital-based laboratories collected carbapenem non-susceptible (CNS) isolates of E. coli and K. pneumoniae detected in clinical specimens from January 2013 to December 2014. All CNS strains were tested for carbapenemase production and typed by multilocus sequence typing (MLST) for a 6-month period as part of the European Survey on Carbapenemase-Producing Enterobacteriaceae in Europe (EuSCAPE) structured survey. In addition, an equal number of carbapenem-susceptible isolates collected were preserved as a control group for risk factor analysis. The overall incidence rate of CP-E/K isolates in hospitals increased from 0.124 in 2013 to 0.223 per 1000 admissions in 2014. From November 2013 to April 2014, 30 CP K. pneumoniae [OXA-48 (n = 16), KPC (n = 13), OXA-427 (n = 1)] and five CP E. coli [OXA-48 (n = 3), NDM (n = 1), OXA-427 (n = 1)] isolates were detected in ten hospitals. The 16 OXA-48-producing K. pneumoniae strains were distributed into eight sequence types (STs), while the 13 KPC-producing K. pneumoniae clustered into three STs dominated by ST512 (n = 7) and ST101 (n = 5). Compared to controls, we observed among CP-E/K carriers significantly higher proportion of males, respiratory origins, previous hospitalization, nosocomial setting, and a significantly lower proportion of bloodstream infections. Our study confirms the rapid spread of CP-E/K in Belgian hospitals and the urgent need for a well-structured and coordinated national surveillance plan in order to limit their dissemination.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2017
Language Anglais
Journal information "European Journal of Clinical Microbiology & Infectious Diseases : an international journal on pathogenesis," - Vol. 36, no. 1, p. 139-146 (2016)
Peer reviewed yes
Publisher Springer ((Germany) Heidelberg)
issn 0934-9723
e-issn 1435-4373
Publication status Publié
Affiliations UCL - SSS/IREC/MONT - Pôle Mont Godinne
UCL - (MGD) Laboratoire de biologie clinique
Links
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Bibliographic reference De Laveleye, Morgane ; Huang, Te-Din ; Bogaerts, Pierre ; Berhin, Catherine ; Bauraing, Caroline ; et. al. Increasing incidence of carbapenemase-producing Escherichia coli and Klebsiella pneumoniae in Belgian hospitals.. In: European Journal of Clinical Microbiology & Infectious Diseases : an international journal on pathogenesis,, Vol. 36, no. 1, p. 139-146 (2016)
Permanent URL http://hdl.handle.net/2078.1/176890