Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción

The constant increase in carbapenemase-producing Enterobacterales (CPE) constitutes a public health problem worldwide, due to the impact generated on the mortality of patients. The gastrointestinal tract is the main reservoir for this microorganism, which is why, rectal colonization becomes an impor...

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Main Author: Diego Josa-Montero
Format: Article
Language:English
Published: Asociación Colombiana de Infectología 2021-01-01
Series:Infectio
Subjects:
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author Diego Josa-Montero
author_facet Diego Josa-Montero
author_sort Diego Josa-Montero
collection DOAJ
description The constant increase in carbapenemase-producing Enterobacterales (CPE) constitutes a public health problem worldwide, due to the impact generated on the mortality of patients. The gastrointestinal tract is the main reservoir for this microorganism, which is why, rectal colonization becomes an important risk factor for the development of subsequent infections. One of the active epidemiological surveillance strategies is the search for colonized patients through screening cultures, to detect these multi-resistant microorganisms.We report the case of a patient, with a history of sepsis of pulmonary origin, colonized by Klebsiella pneumoniae with co-production of NDM + KPC carbapen-emases and NDM carbapenemase-producing Escherichia coli. This finding is more and more frequent, which implies a challenge in its detection and diagnosis. Patient characteristics, procedures performed and microbiological findings are described
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spelling doaj.art-7266cfb59f694c7bb90d9d297ef49d472022-12-22T04:24:43ZengAsociación Colombiana de InfectologíaInfectio0123-93922021-01-01253193196http://dx.doi.org/10.22354/in.v25i3.947Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducciónDiego Josa-Montero0https://orcid.org/0000-0003-0870-7257aboratorio de Microbiología, Departamento de Laboratorio Clínico y Patología, Fundación Clínica Shaio. Bogotá, ColombiaThe constant increase in carbapenemase-producing Enterobacterales (CPE) constitutes a public health problem worldwide, due to the impact generated on the mortality of patients. The gastrointestinal tract is the main reservoir for this microorganism, which is why, rectal colonization becomes an important risk factor for the development of subsequent infections. One of the active epidemiological surveillance strategies is the search for colonized patients through screening cultures, to detect these multi-resistant microorganisms.We report the case of a patient, with a history of sepsis of pulmonary origin, colonized by Klebsiella pneumoniae with co-production of NDM + KPC carbapen-emases and NDM carbapenemase-producing Escherichia coli. This finding is more and more frequent, which implies a challenge in its detection and diagnosis. Patient characteristics, procedures performed and microbiological findings are describedcarbapenemasesenterobacteralesco-productionscreeningnephelometryimmunoassay
spellingShingle Diego Josa-Montero
Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción
Infectio
carbapenemases
enterobacterales
co-production
screening
nephelometry
immunoassay
title Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción
title_full Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción
title_fullStr Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción
title_full_unstemmed Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción
title_short Colonización rectal por Enterobacterales productores de múltiples carbapenemasas: Reporte de un caso de coproducción
title_sort colonizacion rectal por enterobacterales productores de multiples carbapenemasas reporte de un caso de coproduccion
topic carbapenemases
enterobacterales
co-production
screening
nephelometry
immunoassay
work_keys_str_mv AT diegojosamontero colonizacionrectalporenterobacteralesproductoresdemultiplescarbapenemasasreportedeuncasodecoproduccion