Infect Chemother.  2021 Sep;53(3):546-552. 10.3947/ic.2021.0040.

Antibiotic-Resistant Gram-negative Bacteria Carriage in Healthcare Workers Working in an Intensive Care Unit

Affiliations
  • 1Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam
  • 2School of Population Health, University of New South Wales, Sydney, Australia
  • 3Oxford University Clinical Research Unit – Vietnam, Ho Chi Minh City, Vietnam

Abstract

Little is known about antibiotic-resistant Gram-negative bacteria (GNB) intestinal carriage among healthcare workers (HCWs) in Vietnam. All HCWs at a tertiary intensive care units were asked to undertake weekly rectal swabs. Among 40 participants, 65% (26/40) carried extended spectrum β-lactamases (ESBL)/AmpC β-lactamase-producing Escherichia coli. Two HCWs colonized with ESBL/AmpC β-lactamase-producing Klebsiella pneumoniae. One HCW colonized with Acinetobacter baumannii. No one carried Pseudomonas spp.. A quarter (10/40) of HCWs were identified as persistent and frequent carriers. There is an urgent need to screen antibiotic-resistant GNB among HCWs and improve HCWs' hand hygiene compliance to reduce the transmission of antibiotic-resistant GNB in the hospital.

Keyword

Antibiotic-resistant Gram-negative bacteria; Intensive care units; Healthcare workers
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