Acquisition of carbapenemase-producing Enterobacteriaceae by healthy travellers to India, France, February 2012 to March 2013

E Ruppé; L Armand-Lefèvre; C Estellat; A El-Mniai; Y Boussadia; P H Consigny; P M Girard; D Vittecoq; O Bouchaud; G Pialoux; M Esposito-Farèse; B Coignard; J C Lucet; A Andremont; S Matheron

doi:10.2807/1560-7917.ES2014.19.14.20768

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Acquisition of carbapenemase-producing Enterobacteriaceae by healthy travellers to India, France, February 2012 to March 2013
E Ruppé^1,2,3 , L Armand-Lefèvre^1,2 , C Estellat^4,5 , A El-Mniai¹ , Y Boussadia^4,5 , P H Consigny⁶ , P M Girard⁷ , D Vittecoq⁸ , O Bouchaud⁹ , G Pialoux¹⁰ , M Esposito-Farèse^4,5 , B Coignard¹¹ , J C Lucet^2,3,12 , A Andremont^1,2,3 , S Matheron^3,13
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Affiliations: ¹ AP-HP, Hôpital Bichat, Laboratoire de Bactériologie, Paris, France ² INSERM, IAME, UMR 1137, F-75018 Paris, France ³ Univ Paris Diderot, IAME, UMR 1137, Sorbonne Paris Cité, Paris, France ⁴ AP-HP, Hôpital Bichat, Département d’Epidémiologie et Recherche Clinique, URC Paris-Nord, Paris, France ⁵ INSERM, CIC 1425-EC, Paris, France ⁶ Institut Pasteur, Centre Médical, Centre d'Infectiologie Necker-Pasteur, Paris, France ⁷ AP-HP, Hôpital Saint-Antoine, Maladies Infectieuses et tropicales, Paris, France ⁸ AP-HP, Hôpital de Bicêtre, Maladies Infectieuses et Tropicales, Le Kremlin-Bicêtre, France ⁹ AP-HP, Hôpital Avicenne, Maladies Infectieuses et Tropicales, Bobigny, France ¹⁰ AP-HP, Hôpital Tenon, Maladies Infectieuses et Tropicales, Paris, France ¹¹ Institut de Veille Sanitaire, Saint Maurice, France ¹² AP-HP, Hôpital Bichat, Unité d’Hygiène et de Lutte contre les Infections Nosocomiales, Paris, France ¹³ AP-HP, Hôpital Bichat, Maladies Infectieuses et Tropicales, Paris, France

Correspondence:
E Ruppé
etienne.ruppe gmail.com
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Citation style for this article: Ruppé E, Armand-Lefèvre L, Estellat C, El-Mniai A, Boussadia Y, Consigny P H, Girard P M, Vittecoq D, Bouchaud O, Pialoux G, Esposito-Farèse M, Coignard B, Lucet J C, Andremont A, Matheron S. Acquisition of carbapenemase-producing Enterobacteriaceae by healthy travellers to India, France, February 2012 to March 2013. Euro Surveill. 2014;19(14):pii=20768. https://doi.org/10.2807/1560-7917.ES2014.19.14.20768 Received: 19 Mar 2014

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Abstract

Healthy travellers to countries where carbapenemases-producing Enterobacteriaceae (CPE) are endemic might be at risk for their acquisition, even without contact with the local healthcare system. Here, we report the acquisition of CPE (two OXA-181, one New Delhi metallo-beta-lactamase 1 (NDM-1)) in three healthy travellers returning from India. The duration of CPE intestinal carriage was less than one month. The results indicate that healthy travellers recently returning from India might be considered as at risk for CPE carriage.