Latent introduction to the Netherlands of multiple antibiotic resistance including NDM-1 after hospitalisation in Egypt, August 2013

E Bathoorn; A W Friedrich; K Zhou; J P Arends; D M Borst; H Grundmann; J W Rossen

doi:10.2807/1560-7917.ES2013.18.42.20610

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Latent introduction to the Netherlands of multiple antibiotic resistance including NDM-1 after hospitalisation in Egypt, August 2013
E Bathoorn ¹ , A W Friedrich¹ , K Zhou¹ , J P Arends¹ , D M Borst¹ , H Grundmann¹ , J W Rossen¹
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Affiliations: ¹ Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

Correspondence:
E Bathoorn
d.bathoorn umcg.nl
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Citation style for this article: Bathoorn E, Friedrich A W, Zhou K, Arends J P, Borst D M, Grundmann H, Rossen J W. Latent introduction to the Netherlands of multiple antibiotic resistance including NDM-1 after hospitalisation in Egypt, August 2013. Euro Surveill. 2013;18(42):pii=20610. https://doi.org/10.2807/1560-7917.ES2013.18.42.20610 Received: 11 Oct 2013

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Abstract

We describe the introduction of various multi-drug resistant bacterial strains, including an NDM-1-producing Klebsiella pneumoniae, through a traveller returning from Egypt, where they had been admitted to a private hospital. All family members of the patient were colonised with one or more extended-spectrum beta-lactamase producing strains. These findings emphasise the importance of adherence to isolation precautions for returning patients and suggest the need for inclusion of Enterobacteriaceae in admission screening.