Cargando…
Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies
OBJECTIVES: Because effective decolonization options are not available, and treatment options are limited, carbapenem-resistant Enterobacterales (CRE) constitute increasingly threatening nosocomial pathogens. To prevent CRE-associated transmission and ensure patient safety, healthcare personnel and...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Epidemiology
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482563/ https://www.ncbi.nlm.nih.gov/pubmed/37321276 http://dx.doi.org/10.4178/epih.e2023057 |
_version_ | 1785102198324068352 |
---|---|
author | Park, Yoojin Son, Euncheol Choe, Young June Kang, Cho Ryok Roh, Sangmi Hwang, Young Ok Cho, Sung-il Bang, Jihwan |
author_facet | Park, Yoojin Son, Euncheol Choe, Young June Kang, Cho Ryok Roh, Sangmi Hwang, Young Ok Cho, Sung-il Bang, Jihwan |
author_sort | Park, Yoojin |
collection | PubMed |
description | OBJECTIVES: Because effective decolonization options are not available, and treatment options are limited, carbapenem-resistant Enterobacterales (CRE) constitute increasingly threatening nosocomial pathogens. To prevent CRE-associated transmission and ensure patient safety, healthcare personnel and everyone in contact with CRE-infected patients must implement stringent infection control practices. This report describes a CRE outbreak, possibly related to a caregiver at a long-term care facility (LTCF), and presents a new surveillance model to improve the infection control of CRE in Seoul, Korea. METHODS: The Seoul Metropolitan Government surveillance system identified an outbreak of CRE in an LTCF in 2022. We obtained data on the demographic characteristics and contact histories of the inpatients, medical staff, and caregivers. To isolate the inpatients and employees exposed to CRE, we used rectal swab samples and environmental sampling during the study period (May-December 2022). RESULTS: We identified 18 cluster cases (1 caregiver and 17 inpatients) and 12 sporadic cases with CRE, and conducted a complete 197-day follow-up of all cases in the LTCF’s isolation wards. CONCLUSIONS: This investigation demonstrated that our surveillance model and targeted intervention, based on the cooperation of the municipal government, public health center, and infection control advisory committee, effectively contained the epidemic at the LTCF. Measures to improve the compliance of all employees in LTCFs with infection control guidelines should also be adopted. |
format | Online Article Text |
id | pubmed-10482563 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Society of Epidemiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-104825632023-09-08 Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies Park, Yoojin Son, Euncheol Choe, Young June Kang, Cho Ryok Roh, Sangmi Hwang, Young Ok Cho, Sung-il Bang, Jihwan Epidemiol Health Original Article OBJECTIVES: Because effective decolonization options are not available, and treatment options are limited, carbapenem-resistant Enterobacterales (CRE) constitute increasingly threatening nosocomial pathogens. To prevent CRE-associated transmission and ensure patient safety, healthcare personnel and everyone in contact with CRE-infected patients must implement stringent infection control practices. This report describes a CRE outbreak, possibly related to a caregiver at a long-term care facility (LTCF), and presents a new surveillance model to improve the infection control of CRE in Seoul, Korea. METHODS: The Seoul Metropolitan Government surveillance system identified an outbreak of CRE in an LTCF in 2022. We obtained data on the demographic characteristics and contact histories of the inpatients, medical staff, and caregivers. To isolate the inpatients and employees exposed to CRE, we used rectal swab samples and environmental sampling during the study period (May-December 2022). RESULTS: We identified 18 cluster cases (1 caregiver and 17 inpatients) and 12 sporadic cases with CRE, and conducted a complete 197-day follow-up of all cases in the LTCF’s isolation wards. CONCLUSIONS: This investigation demonstrated that our surveillance model and targeted intervention, based on the cooperation of the municipal government, public health center, and infection control advisory committee, effectively contained the epidemic at the LTCF. Measures to improve the compliance of all employees in LTCFs with infection control guidelines should also be adopted. Korean Society of Epidemiology 2023-06-09 /pmc/articles/PMC10482563/ /pubmed/37321276 http://dx.doi.org/10.4178/epih.e2023057 Text en © 2023, Korean Society of Epidemiology https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Park, Yoojin Son, Euncheol Choe, Young June Kang, Cho Ryok Roh, Sangmi Hwang, Young Ok Cho, Sung-il Bang, Jihwan Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies |
title | Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies |
title_full | Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies |
title_fullStr | Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies |
title_full_unstemmed | Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies |
title_short | Outbreak of carbapenem-resistant Enterobacterales at a long-term care facility in Seoul, Korea: surveillance and intervention mitigation strategies |
title_sort | outbreak of carbapenem-resistant enterobacterales at a long-term care facility in seoul, korea: surveillance and intervention mitigation strategies |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482563/ https://www.ncbi.nlm.nih.gov/pubmed/37321276 http://dx.doi.org/10.4178/epih.e2023057 |
work_keys_str_mv | AT parkyoojin outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT soneuncheol outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT choeyoungjune outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT kangchoryok outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT rohsangmi outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT hwangyoungok outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT chosungil outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies AT bangjihwan outbreakofcarbapenemresistantenterobacteralesatalongtermcarefacilityinseoulkoreasurveillanceandinterventionmitigationstrategies |