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

Author:

Ruppé E123,Armand-Lefèvre L31,Estellat C45,El-Mniai A1,Boussadia Y45,Consigny P H6,Girard P M7,Vittecoq D8,Bouchaud O9,Pialoux G10,Esposito-Farèse M45,Coignard B11,Lucet J C1223,Andremont A231,Matheron S132

Affiliation:

1. AP-HP, Hôpital Bichat, Laboratoire de Bactériologie, Paris, France

2. Univ Paris Diderot, IAME, UMR 1137, Sorbonne Paris Cité, Paris, France

3. INSERM, IAME, UMR 1137, F-75018 Paris, France

4. INSERM, CIC 1425-EC, Paris, France

5. AP-HP, Hôpital Bichat, Département d’Epidémiologie et Recherche Clinique, URC Paris-Nord, 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

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.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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