Concomitant prevention of SARS-CoV-2 and extensively drug-resistant bacteria transmission is a difficult challenge in intensive care units dedicated to COVID-19 patients. We report a nosocomial cluster of four patients carrying NDM-1 plasmid-encoded carbapenemase-producing Enterobacter cloacae . Two main factors may have contributed to cross-transmission: misuse of gloves and absence of change of personal protective equipment, in the context of COVID-19-associated shortage. This work highlights the importance of maintaining infection control measures to prevent CPE cross-transmission despite the difficult context and that this type of outbreak can potentially involve several species of Enterobacterales. Supplementary Information The online version contains supplementary material available at 10.1186/s13756-021-01022-6.
【저자키워드】 COVID-19, Personal protective equipment, intensive care unit, Carbapenemase, Cross transmission, Enterobacter cloacae, 【초록키워드】 SARS-CoV-2, infection control, nosocomial, Transmission, outbreak, Patient, Cluster, Bacteria, COVID-19 patients, CPE, Factor, supplementary material, measure, Concomitant, Prevent, highlight, absence, contributed, drug-resistant, Enterobacter, 【제목키워드】 intensive care, Cluster, Enterobacter,