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首页> 外文期刊>The Journal of hospital infection >Dissemination of extended-spectrum β-lactamase-producing Escherichia coli at home: A potential occupational hazard for healthcare workers?
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Dissemination of extended-spectrum β-lactamase-producing Escherichia coli at home: A potential occupational hazard for healthcare workers?

机译:在家中传播产生广谱β-内酰胺酶的大肠杆菌:医护人员的潜在职业危害吗?

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摘要

Extended-spectrum P-lactamases (ESBLs) in Gram-negative pathogens are increasingly prevalent in Ireland.1 They present significant therapeutic and infection control challenges. While much of the literature has focused on the dissemination of ESBL-producing organisms to patients in different clinical and epidemiological settings, several reports have also investigated the transmission of such strains among household members of patients carrying them.2'3 However, the potential risk of occupational exposure of healthcare workers to ESBL-producing bacteria and of onward transmission to household contacts has not received significant attention. We report a case of ESBL-producing E. coli bloodstream infection in a healthcare worker associated with subsequent isolation of an indistinguishable strain from one causing a urinary tract infection in his spouse.
机译:革兰氏阴性病原体中的广谱β-内酰胺酶(ESBLs)在爱尔兰越来越普遍。1它们对治疗和感染控制提出了重大挑战。尽管许多文献集中于在不同的临床和流行病学背景下将产生ESBL的生物传播给患者,但一些报告也调查了这种菌株在携带它们的患者家庭成员中的传播情况。2'3然而,潜在的风险医护人员在职业上接触产生ESBL的细菌的职业接触以及向家庭接触者的进一步传播的关注尚未引起重视。我们报告了一名医务工作者中产生ESBL的大肠杆菌血流感染病例,该病例与随后分离出难以区分的菌株和导致其配偶发生尿路感染的菌株有关。

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