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Risk factors for the development of infections associated with carbapenemase-producing Enterobacteriaceae among previously colonized patients: A retrospective cohort study

Published online by Cambridge University Press:  20 November 2020

Adriana Jimenez Open the ORCID record for Adriana Jimenez [Opens in a new window] ,
Kristopher Fennie Open the ORCID record for Kristopher Fennie [Opens in a new window] ,
L. Silvia Munoz-Price Open the ORCID record for L. Silvia Munoz-Price [Opens in a new window] ,
Boubakari Ibrahimou Open the ORCID record for Boubakari Ibrahimou [Opens in a new window] ,
Lilian M. Abbo Open the ORCID record for Lilian M. Abbo [Opens in a new window] ,
Octavio Martinez ,
Kathleen Sposato ,
Yohei Doi Open the ORCID record for Yohei Doi [Opens in a new window]  and
Mary Jo Trepka
Adriana Jimenez*
Affiliation:
Department of Infection Prevention and Control, Jackson Health System, Miami, Florida Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida
Kristopher Fennie
Affiliation:
Division of Natural Sciences, New College of Florida, Sarasota, Florida
L. Silvia Munoz-Price
Affiliation:
Department of Medicine, Division of Infectious Diseases, Medical College of Wisconsin Milwaukee, Wisconsin
Boubakari Ibrahimou
Affiliation:
Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida
Lilian M. Abbo
Affiliation:
Department of Infection Prevention and Control, Jackson Health System, Miami, Florida Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, Florida
Octavio Martinez
Affiliation:
Department of Pathology and Laboratory Medicine, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida
Kathleen Sposato
Affiliation:
Department of Infection Prevention and Control, Jackson Health System, Miami, Florida
Yohei Doi
Affiliation:
Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Mary Jo Trepka
Affiliation:
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida
*
Author for correspondence: Adriana Jimenez, E-mail: adriana.jimenez@jhsmiami.org
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Abstract

Not all patients who acquire carbapenemase-producing Enterobacteriaceae (CPE) develop infections by these organisms; many remain only colonized. Of 54 CPE-colonized patients, 16 (30%) developed CPE infections. We identified indwelling urinary catheter exposure, exposure to intravenous colistin, and overseas transfer as variables associated with CPE infection development among colonized patients.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 6 , June 2021 , pp. 763 - 766
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Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

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