Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-26T07:30:59.075Z Has data issue: false hasContentIssue false

A metallo-beta-lactamase producing Enterobacteriaceae outbreak from a contaminated tea dispenser at a children’s hospital in Japan

Published online by Cambridge University Press:  27 December 2018

Kenta Ito*
Affiliation:
Division of Infectious Diseases, Department of Pediatrics, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
Hitoshi Honda
Affiliation:
Division of Infectious Diseases, Department of Medicine, Tokyo Metropolitan Tama Medical Center, Fuchu, Tokyo, Japan
Makiko Yoshida
Affiliation:
Department of Infection Control and Laboratory Diagnostics, Tohoku University Graduate School of Medicine, Sendai, Japan
Kotaro Aoki
Affiliation:
Department of Microbiology and Infectious Diseases, Toho University School of Medicine, Tokyo, Japan
Yoshikazu Ishii
Affiliation:
Department of Microbiology and Infectious Diseases, Toho University School of Medicine, Tokyo, Japan
Shigeko Miyokawa
Affiliation:
Department of Nursing, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan. (Present affiliation: Department of General Pediatrics, Aichi Children’s Health and Medical Center, Ohbu, Aichi, Japan [K.I.].)
Yuho Horikoshi*
Affiliation:
Division of Infectious Diseases, Department of Pediatrics, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan
*
Author for correspondence: Kenta Ito MD, 2-8-29 Musashi-dai Fuchu-shi, Tokyo, Japan. E-mail: peaceplease1981@gmail.com Or Yuho Horikoshi MD, 2-8-29 Musashi-dai Fuchu-shi, Tokyo, Japan. E-mail: yuho_horikoshi@tmhp.jp
Author for correspondence: Kenta Ito MD, 2-8-29 Musashi-dai Fuchu-shi, Tokyo, Japan. E-mail: peaceplease1981@gmail.com Or Yuho Horikoshi MD, 2-8-29 Musashi-dai Fuchu-shi, Tokyo, Japan. E-mail: yuho_horikoshi@tmhp.jp

Abstract

An outbreak of metallo-β-lactamase (MBL) producing Klebsiella pneumoniae occurred at a children’s hospital in Japan. MBL-producing K. pneumoniae was detected in tea dispenser in the hospital, the use of which was associated with the acquisition of the MBL-producing Enterobacteriaceae. The outbreak ceased after use of the tea dispenser was banned.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: These data were presented at IDWeek 2015, October 8, 2015, in San Diego, California, as the winning entry in the International Investigator Awards.

Cite this article: Ito K, et al. (2019) A metallo-beta-lactamase producing Enterobacteriaceae outbreak from a contaminated tea dispenser at a children’s hospital in Japan. Infection Control & Hospital Epidemiology 2019, 40, 217–220. doi: 10.1017/ice.2018.331

References

1. Magiorakos, AP, Suetens, C, Monnet, DL, Gagliotti, C, Heuer, OE. The rise of carbapenem resistance in Europe: just the tip of the iceberg? Antimicrob Resist Infect Control 2013;2:6.Google Scholar
2. Suzuki, S, Matsui, M, Suzuki, M, Tsutsui, A, Shibayama, K. The surveillance report of carbapenem-resistant enterobacteriaeceae infection based on infectious disease law in Japan, 2014. http://www0.nih.go.jp/niid/idsc/iasr/35/418j.pdf. Published 2014. Accessed January 26, 2015.Google Scholar
3. Hayakawa, K, Miyoshi-Akiyama, T, Kirikae, T, et al. Molecular and epidemiological characterization of IMP-type metallo-beta-lactamase-producing Enterobacter cloacae in a large tertiary care hospital in Japan. Antimicrob Agents Chemother 2014;58:34413450.Google Scholar
4. Stillwell, T, Green, M, Barbadora, K, et al. Outbreak of KPC-3 producing carbapenem-resistant Klebsiella pneumoniae in a US pediatric hospital. J Pediatr Infect Dis Soc 2015;4:330338.Google Scholar
5. Laboratory protocol for detection of carbapenem-resistant or carbapenemase-producing, Klebsiella spp. and E. coli from Rectal Swabs, 2012. Centers for Disease Control and Prevention website. http://www.cdc.gov/hai/pdfs/labSettings/Klebsiella_or_Ecoli.pdf. Published 2012. Accessed May 7, 2015.Google Scholar
6. Arakawa, Y, Shibata, N, Shibayama, K, et al. Convenient test for screening metallo-beta-lactamase-producing gram-negative bacteria by using thiol compounds. J Clin Microbiol 2000;38:4043.Google Scholar
7. Liu, Y, Li, XY, Wan, LG, Jiang, WY, Li, FQ, Yang, JH. Molecular characterization of the bla(KPC-2) gene in clinical isolates of carbapenem-resistant Klebsiella pneumoniae from the pediatric wards of a Chinese hospital. Can J Microbiol 2012;58:11671173.Google Scholar
8. Benenson, S, Warburg, G, Hidalgo-Grass, C, et al. Comparison of two carbapenem-resistant Klebsiella pneumoniae clones: from a contained outbreak in a paediatric population and from a national epidemic. J Antimicrob Chemother 2012;67:16511654.Google Scholar
9. Montagnani, C, Prato, M, Scolfaro, C, et al. Carbapenem-resistant Enterobacteriaceae infections in children: an Italian retrospective multicenter study. Pediatr Infect Dis J 2016;35:862868.Google Scholar
Supplementary material: File

Ito et al. supplementary material

Ito et al. supplementary material 1

Download Ito et al. supplementary material(File)
File 198.8 KB