Journal Article

Rapid Spread and Control of Multidrug-Resistant Gram-Negative Bacteria in COVID-19 Patient Care Units

Emerick, Michele, Leekha, Surbhi, Cabunoc, Marie K., Johnson, J. Kristie, Preas, Michael Anne, Patel, Ashka, Schrank, Gregory, Williams, Michelle H., Rabinowitz, Ronald, Luethy, Paul

2021

Overview

We describe rapid spread of multidrug-resistant gram-negative bacteria among patients in dedicated coronavirus disease care units in a hospital in Maryland, USA, during May-June 2020. Critical illness, high antibiotic use, double occupancy of single rooms, and modified infection prevention practices were key contributing factors. Surveillance culturing aided in outbreak recognition and control.

• Publisher: U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention
• Subject: Anti-Bacterial Agents - classification / Anti-Bacterial Agents - therapeutic use / Antibiotics / Antimicrobial agents / Bacteria / Complications and side effects / Control / coronavirus disease / Coronaviruses / COVID-19 / COVID-19 - epidemiology / COVID-19 - physiopathology / COVID-19 - therapy / Critical Illness - epidemiology / Critical Illness - therapy / Disease prevention / Disease transmission / Distribution / Drug resistance / Drug resistance in microorganisms / Drug Resistance, Multiple, Bacterial / E coli / Epidemics / Extracorporeal membrane oxygenation / Gram-negative bacteria / Gram-Negative Bacteria - classification / Gram-Negative Bacteria - drug effects / Gram-Negative Bacteria - isolation & purification / Health aspects / Hospitals / Humans / Hygiene / Infection Control - methods / Infection Control - organization & administration / Intensive care / Intensive Care Units - organization & administration / Maryland - epidemiology / Medical supplies / Microbiological Techniques - methods / Microbiological Techniques - statistics & numerical data / Nosocomial infections / Nursing / Pandemics / Patients / Practice Patterns, Nurses' - organization & administration / Practice Patterns, Nurses' - standards / Precipitating Factors / Prevention / Rapid Spread and Control of Multidrug-Resistant Gram-Negative Bacteria in COVID-19 Patient Care Units / Research Letter / respiratory infections / Risk Factors / SARS-CoV-2 / severe acute respiratory syndrome coronavirus 2 / Superinfection - diagnosis / Superinfection - microbiology / Surveillance / United States / viruses