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      Duodenoscopy: an amplifier of cross-transmission during a carbapenemase-producing Enterobacteriaceae outbreak in a gastroenterology pathway.

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          Abstract

          Carbapenemase-producing Klebsiella pneumoniae (OXA-48 CPE) were identified in five patients who underwent an endoscopy with the same duodenoscope in October 2015. The endoscope was the only epidemiological link between these cases. A transient contamination of the duodenoscope following a failure in the disinfection process may have been the cause of transmission.

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          Author and article information

          Journal
          J Hosp Infect
          The Journal of hospital infection
          Elsevier BV
          1532-2939
          0195-6701
          Aug 2018
          : 99
          : 4
          Affiliations
          [1 ] Bacteriology and Hygiene Department, Nantes University Hospital, Nantes, France. Electronic address: celine.bourigault@chu-nantes.fr.
          [2 ] Bacteriology and Hygiene Department, Nantes University Hospital, Nantes, France.
          [3 ] Bacteriology and Hygiene Department, Nantes University Hospital, Nantes, France; Endoscope Reprocessing Unit (CeTrES), Nantes University Hospital, Nantes, France.
          [4 ] Digestive Endoscopy Department, Nantes University Hospital, Nantes, France.
          [5 ] Gastroenterology Department, Nantes University Hospital, Nantes, France.
          [6 ] Regional Center for Infection Prevention and Control, Nantes, France.
          Article
          S0195-6701(18)30227-5
          10.1016/j.jhin.2018.04.015
          29684421
          2446cd71-e582-4b0e-91bc-21ad049a5e57
          Copyright © 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
          History

          Carbapenemase-producing Enterobacteriaceae,Duodenoscopy,Outbreak,Reprocessing

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