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Transmission of novel Klebsiella pneumoniae carbapenemase-producing Escherichia coli sequence type 1193 among residents and caregivers in a community-based, residential care setting—Nevada, 2018

Published online by Cambridge University Press:  29 June 2020

Danica J. Gomes*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia
Ana C. Bardossy
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia
Lei Chen
Affiliation:
Washoe County Health District, Reno, Nevada
Adrian Forero
Affiliation:
Nevada Division of Public and Behavioral Health, Carson City, Nevada
Andrew Gorzalski
Affiliation:
Nevada State Public Health Laboratory, Reno, Nevada
Heather Holmstadt
Affiliation:
Washoe County Health District, Reno, Nevada
Kimisha Causey
Affiliation:
Nevada Division of Public and Behavioral Health, Carson City, Nevada
Chidinma Njoku
Affiliation:
Nevada Division of Public and Behavioral Health, Carson City, Nevada
Nimalie D. Stone
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Abimbola Ogundimu
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Heather Moulton-Meissner
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Gillian McAllister
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Alison L. Halpin
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Paige Gable
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Nicholas Vlachos
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Sandra Larson
Affiliation:
Nevada Division of Public and Behavioral Health, Carson City, Nevada
Maroya Spalding Walters
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Lauren Epstein*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Author for correspondence: Danica Gomes, E-mail: okm8@cdc.gov. Or Lauren Epstein, xdd0@cdc.gov
Author for correspondence: Danica Gomes, E-mail: okm8@cdc.gov. Or Lauren Epstein, xdd0@cdc.gov

Abstract

We describe transmission of Klebsiella pneumoniae carbapenemase-producing Escherichia coli sequence type (ST) 1193 in a group home. E. coli ST1193 is an emerging multidrug-resistant clone not previously shown to carry carbapenemases in the United States. Our investigation illustrates the potential of residential group homes to amplify rare combinations of pathogens and resistance mechanisms.

Type
Concise Communication
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

PREVIOUS PRESENTATION. This investigation was presented at ID week, 2019 as a poster (no. 513) presentation entitled “Transmission of carbapenemase-producing Enterobacteriaceae in a community-based, residential care setting—Nevada, 2018” on October 3, 2019, in Washington, DC.

References

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