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Identification and control of two outbreaks of unrelated New Delhi metallo-β-lactamase–producing carbapenem-resistant Escherichia coli traced to the same endoscope defect

Published online by Cambridge University Press:  23 February 2023

Halima K. Dabaja-Younis Open the ORCID record for Halima K. Dabaja-Younis [Opens in a new window] ,
Vered Schechner Open the ORCID record for Vered Schechner [Opens in a new window] ,
Ibrahim Firan Open the ORCID record for Ibrahim Firan [Opens in a new window] ,
Iyad Khamaysi ,
Gabrielle D. Levi ,
Mor N. Lurie-Weinberger Open the ORCID record for Mor N. Lurie-Weinberger [Opens in a new window] ,
Avi Weissman Open the ORCID record for Avi Weissman [Opens in a new window] ,
Yuri Guriel ,
Yuval Geffen  and
Khetam Hussein Open the ORCID record for Khetam Hussein [Opens in a new window]
Halima K. Dabaja-Younis
Affiliation:
Infection Control and Prevention Unit, Rambam Health Care Campus, Haifa, Israel The Ruth & Bruce Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
Vered Schechner
Affiliation:
National Institute for Antibiotic Resistance and Infection Control, Ministry of Health, Tel Aviv, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
Ibrahim Firan
Affiliation:
Infection Control and Prevention Unit, Rambam Health Care Campus, Haifa, Israel
Iyad Khamaysi
Affiliation:
The Ruth & Bruce Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel Gastroenterology Unit, Rambam Health Care Campus, Haifa, Israel
Gabrielle D. Levi
Affiliation:
National Institute for Antibiotic Resistance and Infection Control, Ministry of Health, Tel Aviv, Israel
Mor N. Lurie-Weinberger
Affiliation:
National Institute for Antibiotic Resistance and Infection Control, Ministry of Health, Tel Aviv, Israel
Avi Weissman
Affiliation:
The Ruth & Bruce Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel Hospital Management, Rambam Health Care Campus, Haifa, Israel
Yuri Guriel
Affiliation:
Gastroenterology Unit, Rambam Health Care Campus, Haifa, Israel
Yuval Geffen
Affiliation:
The Ruth & Bruce Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel Microbiology Laboratory, Rambam Health Care Campus, Haifa, Israel
Khetam Hussein*
Affiliation:
Infection Control and Prevention Unit, Rambam Health Care Campus, Haifa, Israel The Ruth & Bruce Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
*
Author for correspondence: Dr. Khetam Hussein, Infectious Control and Prevention Unit Rambam Health Care Campus, PO Box 9602, Haifa 31096, Israel. E-mail: k_hussein@rambam.health.gov.il
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Abstract

We report 2 outbreaks of genetically unrelated carbapenem-resistant New Delhi metallo-β-lactamase–producing Escherichia coli caused by contaminated duodenoscopes. Using endoscopes with disposable end caps, adherence to the manufacturer’s reprocessing instructions, routine audits, and manufacturer evaluation are critical in preventing such outbreaks.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 10 , October 2023 , pp. 1673 - 1675
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

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