De la détection d'une bactérie hautement résistante aux antibiotiques émergente à la gestion d'une épidémie

Abstract

AbstractIn France, as soon as the bacteriology laboratory detects emerging extensively drug-resistant bacteria (eXDR), a bundle of infection prevention and control (IPC) measures must be implemented with regard to the different transmission routes of eXDR. The modes of transmission are varied, from the transport of eXDR by the contaminated hands of caregivers, to the transport of eXDR by a carrier patient transferred from one facility to another, to the environmental contamination. Controlling the spread of eXDR essentially involves followup and screening of contact patients and carrier patients. Screening should be performed within the department but also after transfer to another department or facility, involving another operational hygiene team and another bacteriology laboratory for the application of IPC measures. This implies a close follow-up of cases and contacts as well as organization and communication between the different actors.