Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany
Frickmann H, Koeller T, Hagen RM, Ebert K-P, Mueller M, Wenzel W, Gatzer R, Schotte U, Binder A, Skusa R, Warnke P, et al. (2018)
EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY 8(1): 1-11.
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Autor*in
Frickmann, Hagen;
Koeller, Thomas;
Hagen, Ralf Matthias;
Ebert, Klaus-Peter;
Mueller, Martin;
Wenzel, Werner;
Gatzer, Renate;
Schotte, Ulrich;
Binder, Alfred;
Skusa, Romy;
Warnke, Philipp;
Podbielski, Andreas
Alle
Alle
Abstract / Bemerkung
Introduction: We assessed the molecular epidemiology of multidrug-resistant bacteria colonizing or infecting war-injured patients from Libya and Syria who were treated at the Bundeswehr hospitals Hamburg and Westerstede, Germany. Methods: Enterobacteriaceae and Gram-negative rod-shaped nonfermentative bacteria with resistance against third-generation methoxyimino cephalosporins or carbapenems as well as methicillin-resistant Staphylococcus aureus (MRSA) from war-injured patients from Libya and Syria were assessed by molecular typing, i.e., spa typing for MRSA strains and rep-PCR and next-generation sequencing (NGS) for Gram-negative isolates. Results: A total of 66 isolates were assessed - comprising 44 Enterobacteriaceae, 16 nonfermentative rod-shaped bacteria, and 6 MRSA from 22 patients - and 8 strains from an assessment of the patient environment comprising 5 Enterobacteriaceae and 3 nonfermentative rod-shaped bacteria. Although 24 out of 66 patient strains were isolated more than 3 days after hospital admission, molecular typing suggested only 7 likely transmission events in the hospitals. Identified clonal clusters primarily suggested transmission events in the country of origin or during the medical evacuation flights. Conclusions: Nosocomial transmissions in hospital can be efficiently prevented by hygiene precautions in spite of heavy colonization. Transmission prior to hospital admission like on evacuation flights or in crises zones needs further assessment.
Stichworte
multidrug-resistant;
typing;
next-generation sequencing;
rep-PCR;
war;
injuries;
Libya;
Syria
Erscheinungsjahr
2018
Zeitschriftentitel
EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY
Band
8
Ausgabe
1
Seite(n)
1-11
ISSN
2062-8633
Page URI
https://pub.uni-bielefeld.de/record/2920704
Zitieren
Frickmann H, Koeller T, Hagen RM, et al. Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY. 2018;8(1):1-11.
Frickmann, H., Koeller, T., Hagen, R. M., Ebert, K. - P., Mueller, M., Wenzel, W., Gatzer, R., et al. (2018). Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY, 8(1), 1-11. doi:10.1556/1886.2018.00002
Frickmann, Hagen, Koeller, Thomas, Hagen, Ralf Matthias, Ebert, Klaus-Peter, Mueller, Martin, Wenzel, Werner, Gatzer, Renate, et al. 2018. “Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany”. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY 8 (1): 1-11.
Frickmann, H., Koeller, T., Hagen, R. M., Ebert, K. - P., Mueller, M., Wenzel, W., Gatzer, R., Schotte, U., Binder, A., Skusa, R., et al. (2018). Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY 8, 1-11.
Frickmann, H., et al., 2018. Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY, 8(1), p 1-11.
H. Frickmann, et al., “Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany”, EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY, vol. 8, 2018, pp. 1-11.
Frickmann, H., Koeller, T., Hagen, R.M., Ebert, K.-P., Mueller, M., Wenzel, W., Gatzer, R., Schotte, U., Binder, A., Skusa, R., Warnke, P., Podbielski, A., Rückert, C., Kreikemeyer, B.: Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY. 8, 1-11 (2018).
Frickmann, Hagen, Koeller, Thomas, Hagen, Ralf Matthias, Ebert, Klaus-Peter, Mueller, Martin, Wenzel, Werner, Gatzer, Renate, Schotte, Ulrich, Binder, Alfred, Skusa, Romy, Warnke, Philipp, Podbielski, Andreas, Rückert, Christian, and Kreikemeyer, Bernd. “Molecular Epidemiology of Multidrug-Resistant Bacteria Isolated from Libyan and Syrian Patients with War Injuries in Two Bundeswehr Hospitals in Germany”. EUROPEAN JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY 8.1 (2018): 1-11.
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The role of whole genome sequencing in antimicrobial susceptibility testing of bacteria: report from the EUCAST Subcommittee.
Ellington MJ, Ekelund O, Aarestrup FM, Canton R, Doumith M, Giske C, Grundman H, Hasman H, Holden MTG, Hopkins KL, Iredell J, Kahlmeter G, Koser CU, MacGowan A, Mevius D, Mulvey M, Naas T, Peto T, Rolain JM, Samuelsen O, Woodford N., Clin. Microbiol. Infect. 23(1), 2016
PMID: 27890457
Ellington MJ, Ekelund O, Aarestrup FM, Canton R, Doumith M, Giske C, Grundman H, Hasman H, Holden MTG, Hopkins KL, Iredell J, Kahlmeter G, Koser CU, MacGowan A, Mevius D, Mulvey M, Naas T, Peto T, Rolain JM, Samuelsen O, Woodford N., Clin. Microbiol. Infect. 23(1), 2016
PMID: 27890457
Effect of daily chlorhexidine bathing on hospital-acquired infection.
Climo MW, Yokoe DS, Warren DK, Perl TM, Bolon M, Herwaldt LA, Weinstein RA, Sepkowitz KA, Jernigan JA, Sanogo K, Wong ES., N. Engl. J. Med. 368(6), 2013
PMID: 23388005
Climo MW, Yokoe DS, Warren DK, Perl TM, Bolon M, Herwaldt LA, Weinstein RA, Sepkowitz KA, Jernigan JA, Sanogo K, Wong ES., N. Engl. J. Med. 368(6), 2013
PMID: 23388005
Injured Libyan combatant patients: both vectors and victims of multiresistance bacteria?
Zorgani A, Ziglam H., Libyan J Med 8(), 2013
PMID: 23413373
Zorgani A, Ziglam H., Libyan J Med 8(), 2013
PMID: 23413373
Rapid evolution and spread of carbapenemases among Enterobacteriaceae in Europe.
Canton R, Akova M, Carmeli Y, Giske CG, Glupczynski Y, Gniadkowski M, Livermore DM, Miriagou V, Naas T, Rossolini GM, Samuelsen O, Seifert H, Woodford N, Nordmann P; European Network on Carbapenemases, Akova M, Miriagou V, Naas T, Nordmann P, Poirel L, Seifert H, Livermore DM, Woodford N, Bogaerts P, Glupczynski Y, Canton R, Rossolini G, Giske C, Carmeli Y, Navon-Venezia S, Samuelsen O, Cornaglia G, Gniadkowski M., Clin. Microbiol. Infect. 18(5), 2012
PMID: 22507109
Canton R, Akova M, Carmeli Y, Giske CG, Glupczynski Y, Gniadkowski M, Livermore DM, Miriagou V, Naas T, Rossolini GM, Samuelsen O, Seifert H, Woodford N, Nordmann P; European Network on Carbapenemases, Akova M, Miriagou V, Naas T, Nordmann P, Poirel L, Seifert H, Livermore DM, Woodford N, Bogaerts P, Glupczynski Y, Canton R, Rossolini G, Giske C, Carmeli Y, Navon-Venezia S, Samuelsen O, Cornaglia G, Gniadkowski M., Clin. Microbiol. Infect. 18(5), 2012
PMID: 22507109
Low Enteric Colonization with Multidrug-Resistant Pathogens in Soldiers Returning from Deployments- Experience from the Years 2007-2015.
Frickmann H, Wiemer D, Frey C, Hagen RM, Hinz R, Podbielski A, Koller T, Warnke P., PLoS ONE 11(9), 2016
PMID: 27598775
Frickmann H, Wiemer D, Frey C, Hagen RM, Hinz R, Podbielski A, Koller T, Warnke P., PLoS ONE 11(9), 2016
PMID: 27598775
Patients hospitalized abroad as importers of multiresistant bacteria-a cross-sectional study.
Khawaja T, Kirveskari J, Johansson S, Vaisanen J, Djupsjobacka A, Nevalainen A, Kantele A., Clin. Microbiol. Infect. 23(9), 2017
PMID: 28196696
Khawaja T, Kirveskari J, Johansson S, Vaisanen J, Djupsjobacka A, Nevalainen A, Kantele A., Clin. Microbiol. Infect. 23(9), 2017
PMID: 28196696
Effectiveness of Chlorhexidine Wipes for the Prevention of Multidrug-Resistant Bacterial Colonization and Hospital-Acquired Infections in Intensive Care Unit Patients: A Randomized Trial in Thailand.
Boonyasiri A, Thaisiam P, Permpikul C, Judaeng T, Suiwongsa B, Apiradeewajeset N, Fakthongphan T, Suddee S, Laoagtipparos W, Thamlikitkul V., Infect Control Hosp Epidemiol 37(3), 2016
PMID: 26894621
Boonyasiri A, Thaisiam P, Permpikul C, Judaeng T, Suiwongsa B, Apiradeewajeset N, Fakthongphan T, Suddee S, Laoagtipparos W, Thamlikitkul V., Infect Control Hosp Epidemiol 37(3), 2016
PMID: 26894621
Screening agars for MRSA: evaluation of a stepwise diagnostic approach with two different selective agars for the screening for methicillin-resistant Staphylococcus aureus (MRSA).
Micheel V, Hogan B, Koller T, Warnke P, Crusius S, Hinz R, Hagen RM, Schwarz NG, Frickmann H., Mil Med Res 2(), 2015
PMID: 26199735
Micheel V, Hogan B, Koller T, Warnke P, Crusius S, Hinz R, Hagen RM, Schwarz NG, Frickmann H., Mil Med Res 2(), 2015
PMID: 26199735
Multidrug-resistant organisms in refugees: prevalences and impact on infection control in hospitals.
Heudorf U, Albert-Braun S, Hunfeld KP, Birne FU, Schulze J, Strobel K, Petscheleit K, Kempf VA, Brandt C., GMS Hyg Infect Control 11(), 2016
PMID: 27579250
Heudorf U, Albert-Braun S, Hunfeld KP, Birne FU, Schulze J, Strobel K, Petscheleit K, Kempf VA, Brandt C., GMS Hyg Infect Control 11(), 2016
PMID: 27579250
Molecular Epidemiology of Carbapenem-Resistant Acinetobacter Baumannii Complex Isolates from Patients that were Injured During the Eastern Ukrainian Conflict.
Granzer H, Hagen RM, Warnke P, Bock W, Baumann T, Schwarz NG, Podbielski A, Frickmann H, Koeller T., Eur J Microbiol Immunol (Bp) 6(2), 2016
PMID: 27429793
Granzer H, Hagen RM, Warnke P, Bock W, Baumann T, Schwarz NG, Podbielski A, Frickmann H, Koeller T., Eur J Microbiol Immunol (Bp) 6(2), 2016
PMID: 27429793
Multidrug-resistant organisms detected in refugee patients admitted to a University Hospital, Germany June‒December 2015.
Reinheimer C, Kempf VA, Gottig S, Hogardt M, Wichelhaus TA, O'Rourke F, Brandt C., Euro Surveill. 21(2), 2016
PMID: 26794850
Reinheimer C, Kempf VA, Gottig S, Hogardt M, Wichelhaus TA, O'Rourke F, Brandt C., Euro Surveill. 21(2), 2016
PMID: 26794850
Prevalence of nasal colonisation by methicillin-sensitive and methicillin-resistant Staphylococcus aureus among healthcare workers and students in Madagascar.
Hogan B, Rakotozandrindrainy R, Al-Emran H, Dekker D, Hahn A, Jaeger A, Poppert S, Frickmann H, Hagen RM, Micheel V, Crusius S, Heriniaina JN, Rakotondrainiarivelo JP, Razafindrabe T, May J, Schwarz NG., BMC Infect. Dis. 16(1), 2016
PMID: 27526771
Hogan B, Rakotozandrindrainy R, Al-Emran H, Dekker D, Hahn A, Jaeger A, Poppert S, Frickmann H, Hagen RM, Micheel V, Crusius S, Heriniaina JN, Rakotondrainiarivelo JP, Razafindrabe T, May J, Schwarz NG., BMC Infect. Dis. 16(1), 2016
PMID: 27526771
Targeted versus universal decolonization to prevent ICU infection.
Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, Avery TR, Lankiewicz J, Gombosev A, Terpstra L, Hartford F, Hayden MK, Jernigan JA, Weinstein RA, Fraser VJ, Haffenreffer K, Cui E, Kaganov RE, Lolans K, Perlin JB, Platt R; CDC Prevention Epicenters Program; AHRQ DECIDE Network and Healthcare-Associated Infections Program, Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, Avery TR, Lankiewicz J, Gombosev A, Terpstra L, Hartford F, Hayden MK, Jernigan JA, Weinstein RA, Fraser VJ, Haffenreffer K, Cui E, Kaganov RE, Lolans K, Perlin JB, Platt R., N. Engl. J. Med. 368(24), 2013
PMID: 23718152
Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, Avery TR, Lankiewicz J, Gombosev A, Terpstra L, Hartford F, Hayden MK, Jernigan JA, Weinstein RA, Fraser VJ, Haffenreffer K, Cui E, Kaganov RE, Lolans K, Perlin JB, Platt R; CDC Prevention Epicenters Program; AHRQ DECIDE Network and Healthcare-Associated Infections Program, Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, Avery TR, Lankiewicz J, Gombosev A, Terpstra L, Hartford F, Hayden MK, Jernigan JA, Weinstein RA, Fraser VJ, Haffenreffer K, Cui E, Kaganov RE, Lolans K, Perlin JB, Platt R., N. Engl. J. Med. 368(24), 2013
PMID: 23718152
Multidrug resistant bacteria in wounds of combatants of the Libyan uprising.
Franka EA, Shembesh MK, Zaied AA, El-Turki E, Zorgani A, Elahmer OR, Ghenghesh KS., J. Infect. 65(3), 2012
PMID: 22490615
Franka EA, Shembesh MK, Zaied AA, El-Turki E, Zorgani A, Elahmer OR, Ghenghesh KS., J. Infect. 65(3), 2012
PMID: 22490615
A case of OXA-48 carbapenemase-producing Klebsiella pneumoniae in a patient transferred to Slovenia from Libya, November 2011.
Pirs M, Andlovic A, Cerar T, Zohar-Cretnik T, Kobola L, Kolman J, Frelih T, Presern-Strukelj M, Ruzic-Sabljic E, Seme K., Euro Surveill. 16(50), 2011
PMID: 22221496
Pirs M, Andlovic A, Cerar T, Zohar-Cretnik T, Kobola L, Kolman J, Frelih T, Presern-Strukelj M, Ruzic-Sabljic E, Seme K., Euro Surveill. 16(50), 2011
PMID: 22221496
Identification of bacterial pathogens and antimicrobial resistance directly from clinical urines by nanopore-based metagenomic sequencing.
Schmidt K, Mwaigwisya S, Crossman LC, Doumith M, Munroe D, Pires C, Khan AM, Woodford N, Saunders NJ, Wain J, O'Grady J, Livermore DM., J. Antimicrob. Chemother. 72(1), 2016
PMID: 27667325
Schmidt K, Mwaigwisya S, Crossman LC, Doumith M, Munroe D, Pires C, Khan AM, Woodford N, Saunders NJ, Wain J, O'Grady J, Livermore DM., J. Antimicrob. Chemother. 72(1), 2016
PMID: 27667325
Applying the ResFinder and VirulenceFinder web-services for easy identification of acquired antibiotic resistance and E. coli virulence genes in bacteriophage and prophage nucleotide sequences.
Kleinheinz KA, Joensen KG, Larsen MV., Bacteriophage 4(1), 2014
PMID: 24575358
Kleinheinz KA, Joensen KG, Larsen MV., Bacteriophage 4(1), 2014
PMID: 24575358
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