报告说,这名妇女于去年8月18日因肺炎在沃肖郡医疗中心就诊。此后,她的病情恶化并休克,最终在9月初医治无效后去世。
检测结果显示,耐碳青霉烯类肠杆菌为本次事件的罪魁祸首,这是一种耐受26种抗生素的超级细菌,氨基糖苷(aminoglycoside)、多黏菌素(polymyxins)以及新型抗生素替加环素(tigecycline)均无法应对。
部分原文报道如下:
On August 25, 2016, the Washoe County Health District in Reno, Nevada, was notified of a patient at an acute care hospital with carbapenem-resistant Enterobacteriaceae (CRE) that was resistant to all available antimicrobial drugs. The specific CRE, Klebsiella pneumoniae, was isolated from a wound specimen collected on August 19, 2016. After CRE was identified, the patient was placed in a single room under contact precautions. The patient had a history of recent hospitalization outside the United States. Therefore, based on CDC guidance (1), the isolate was sent to CDC for testing to determine the mechanism of antimicrobial resistance, which confirmed the presence of New Delhi metallo-beta-lactamase (NDM)。
原文链接:https://www.cdc.gov/mmwr/volumes/66/wr/mm6601a7.htm
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