Prevention and control of highly antibiotic-resistant bacteria in a Pacific territory: Feedback from New Caledonia between 2004 and 2020 - 26/01/22
, Claire Fouquet c, Frédérique Ducrocq f, Sylvie Chevalier c, Christine Le Provost c, Cécile Cazorla d, Camille Cheval e, Caroline Fijalkowski e, Ann-Claire Gourinat a, Antoine Biron a, Cyrille Goarant b, Alexandre Bourles b, Benoît Marot g, Philippe Saliou b, h, iBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 1 |
| Vidéos | 0 |
| Autres | 0 |
Highlights |
• | AMR is now established in the Pacific Island countries and territories. |
• | The main identified CREs in New Caledonia are IMP-4. |
• | Global control strategy is designed to reduces AMR spread in circumscribed territory. |
• | Systematic screening before sanitary repatriation is essential to control AMR. |
Abstract |
Objective |
Carbapenemase-producing Enterobacteriaceae (CRE) and Enterococcus faecium resistant to vancomycin (VRE) constitute major threats to public health worldwide. The Pacific area is concerned and has implemented strategies to control antimicrobial resistance (AMR). However, accurate epidemiological data are rarely reported. Our study aimed to present the strategies applied to prevent and control the spread of highly resistant bacteria in the Pacific territory of New Caledonia.
Patients and methods |
Cohort prospective study of all cases of highly resistant bacteria (HRB) isolated in New Caledonia from September 2004 to December 2020. Evaluation of the impact of the infection control measures implemented in healthcare settings: screening strategy, cohorting unit, IT tools and control of antibiotic prescriptions.
Results |
A total of 346 patients with HRB were identified. Most of them (63.0%) were infected or colonized by VRE (n=218) and 128 by CRE. While the number of CREs significantly increased from 2013 to 2020 (P<0.0001), control procedures have limited their dissemination. Most patients were colonized by IMP-4-CRE (n=124/128). The incidence density of VRE significantly decreased from 38.52 for 100,000 hospitalisation-days in 2015 to 4.19 for 100,000 hospitalisation-days in 2019 due to systematic screening of patients before sanitary repatriation from Australia and cohorting implementation. The risk of VRE diffusion is now well under control.
Conclusions |
Our study confirms that it is possible to control the spread of AMR in a circumscribed territory by means of a global control strategy involving screening, cohorting unit, IT tools and antibiotic prescription controls.
Le texte complet de cet article est disponible en PDF.Keywords : Multi-drug-resistant bacteria, Carbapenem-resistant Enterobacteriaceae, Vancomycin-resistant Enterococcus, New Caledonia, Outbreak, Prevention
Plan
Vol 52 - N° 1
P. 7-12 - février 2022 Retour au numéro
Article précédent
- Changing profile of encephalitis: Results of a 4-year study in France
- A. Mailles, X. Argemi, C. Biron, P. Fillatre, T. De Broucker, R. Buzelé, A. Gagneux-Brunon, I. Gueit, C. Henry, S. Patrat-Delon, A. Makinson, E. Piet, H. Wille, M.O. Vareil, O. Epaulard, M. Martinot, P. Tattevin, J.P. Stahl, the scientific committee, the investigators
- Clinical, epidemiological and therapeutic characteristics of Mycoplasma genitalium infection in a French STI center
- Cécile Brin, Romain Palich, Nagisa Godefroy, Anne Simon, Jérôme Robert, Cécile Bébéar, Wladimir Sougakoff, Rachid Agher, Eric Caumes, Gentiane Monsel
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?