1
|
Lázaro-Perona F, Ramos JC, Sotillo A, Mingorance J, García-Rodríguez J, Ruiz-Carrascoso G, Paño-Pardo JR, Arribas JR, Herruzo R, Arnalich F. Intestinal persistence of a plasmid harbouring the OXA-48 carbapenemase gene after hospital discharge. J Hosp Infect 2018; 101:175-178. [PMID: 30017896 DOI: 10.1016/j.jhin.2018.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 07/05/2018] [Indexed: 11/17/2022]
Abstract
To study intestinal colonization by OXA-48-producing Klebsiella pneumoniae (KpO48) after hospital discharge, stool samples from 22 previously colonized subjects were collected. Time from discharge was 33-611 days, without readmissions. Eight subjects (36%) were identified as blaOXA-48 gene carriers. In all of them the hospital-acquired strain of KpO48 had been lost, and the gene was harboured by other strains of K. pneumoniae, Klebsiella oxytoca and/or Escherichia coli. Our findings show intestinal persistence for several months of a plasmid harbouring the OXA-48 carbapenemase gene in a significant proportion of individuals in the absence of antibiotic treatment.
Collapse
Affiliation(s)
- F Lázaro-Perona
- Servicio de Microbiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - J C Ramos
- Unidad de Microbiología Clínica y Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain
| | - A Sotillo
- Servicio de Microbiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - J Mingorance
- Servicio de Microbiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.
| | - J García-Rodríguez
- Servicio de Microbiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - G Ruiz-Carrascoso
- Servicio de Microbiología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain
| | - J R Paño-Pardo
- Unidad de Microbiología Clínica y Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain
| | - J R Arribas
- Unidad de Microbiología Clínica y Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain
| | - R Herruzo
- Servicio de Medicina Preventiva, Hospital Universitario La Paz, Madrid, Spain
| | - F Arnalich
- Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain
| |
Collapse
|