1. Impact of extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-E) rectal carriage in cancer patients admitted to the intensive care unit.
- Author
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Issa N, Coppry M, Ripoche E, Guisset O, Mourissoux G, Bessede E, and Camou F
- Subjects
- Carrier State epidemiology, Carrier State microbiology, Humans, Intensive Care Units, beta-Lactamases, Cross Infection drug therapy, Cross Infection epidemiology, Enterobacteriaceae Infections drug therapy, Enterobacteriaceae Infections epidemiology, Neoplasms
- Abstract
Little data is available on extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-E) rectal colonization in cancer patients admitted to the intensive care unit (ICU). We aimed to describe the epidemiology of ESBL-E in cancer patients hospitalized in the ICU compared with non-cancer patients. ESBL-E colonization was detected in 6.6% of 1,013 cancer patients and 6.4% of 1625 non-cancer patients. At admission, among the 172 colonized patients: 48/67 cancer patients and 78/105 non-cancer patients developed an infection, documented with an ESBL-E for 21% and 24% of them, respectively. The in-hospital mortality rate among colonized patients was 33% in cancer patients and 12% in non-cancer patients. In cancer patients, ESBL-E infections are rare but systematic rectal screening identifies high-risk population and guides empirical antibiotic therapy. It also contributes to being aware of the ICU microbiological ecology., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)
- Published
- 2022
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