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Resolution of Carbapenemase-Producing Klebsiella pneumoniae Outbreak in a Tertiary Cancer Center; the Role of Active Surveillance

  • Clare Rock (a1) (a2) (a3), Melanie S. Curless (a3), Maggie Cantara (a3), Seema Mehta (a1), Kristen A. Marrone (a1), Karen C. Carroll (a4), Patricia Simner (a4) and Lisa L. Maragakis (a1) (a2) (a3)...


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Corresponding author

Address correspondence to Clare Rock, MD, MS, Johns Hopkins University School of Medicine, Division of Infectious Diseases, 600 North Wolfe Street, Halsted 831, Baltimore, MD 21287-5425 (


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PREVIOUS PRESENTATION: Part of the data reported here were presented as a poster at the Society for Hospital Epidemiology of America (SHEA) Spring Meeting 2017 in March 2017, in St. Louis, Missouri.


Authors of equal contribution, respectively.



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1. Centers for Disease Control and Prevention. Vital signs: carbapenem-resistant Enterobacteriaceae. Morb Mortal Wkly Rep 2013;62:165170.
2. Snitkin, ES, Zelazny, AM, Thomas, PJ, et al. Tracking a hospital outbreak of carbapenem-resistant Klebsiella pneumoniae with whole-genome sequencing. Sci Transl Med 2012;4:148ra116.
3. Kanamori, H, Parobek, CM, Juliano, JJ, et al. A prolonged outbreak of KPC-producing Enterobacter cloacae and Klebsiella pneumoniae driven by multiple mechanisms of resistance transmission at a large academic burn center. Antimicrob Agents Chemother 2016;61:e01516-e01516.
4. Leitner, E, Zarfel, G, Luxner, J, et al. Contaminated handwashing sinks as the source of a clonal outbreak of KPC-2-producing Klebsiella oxytoca on a hematology ward. Antimicrob Agents Chemother 2015;59:714716.
5. Ben-David, D, Maor, Y, Keller, N, et al. Potential role of active surveillance in the control of a hospital-wide outbreak of carbapenem-resistant Klebsiella pneumoniae infection. Infect Control Hosp Epidemiol 2010;31:620626.
6. Facility guidance for carbapenem-resistant Enterobacteriaceae. Centers for Disease Control and Prevention website. Published 2015. Accessed March 21, 2017.
7. Kizny Gordon, AE, Mathers, AJ, Cheong, EYL, et al. Is the hospital water environment a reservoir for carbapenem-resistant organisms causing hospital-acquired infections? A systematic review of the literature. Clin Infect Dis 2017:cix132.


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