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2024, Vol: 14, Issue: 4
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Research Article 


Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control

Desiree Caselli, Antonella Colombini, Daniele Zama, Elio Castagnola, Paola Muggeo, Milena La Spina, Katia Perruccio, Raffaella De Santis, Francesca Carraro, Federico Mercolini, Maria Grazia Petris, Daniela Onofrillo, Rossella Mura, Simone Cesaro.


Abstract
Objectives: The spread of carbapenemase-producing Enterobacteriaceae (CPE) is an emerging problem in children undergoing cancer-directed chemotherapy. A previous Italian survey reported a threefold increase in CPE colonization rate and a fourfold increase of CPE bloodstream infections in a 2 year-observation time interval.
Methods: To assess the efficacy of the measures put in place to control this emergency, a second survey was performed in the years 2016-2017 and the results were compared.
Results: The overall rate of colonization was comparable between the two study periods: 0.50% (2016-2017) vs. 0.48% (2012-2013). MDR/CPE bacteremia was now reported in 13 children from six centers. The rate of MDR/CPE bacteremia was 0.12 for 1,000 days of hospitalization (95% CI, 0.07-0.21) and compared favorably with that observed in the previous survey (0.42 for 1,000 days of hospitalization; 95% CI, 0.31-0.57; p<0.0001). The strains responsible for bacteremia were Klebsiella pneumonia in 9/13 children, Escherichia coli in 2/13, Citrobacter spp. and Stenotrophomonas maltophilia in one case each. The antibiotic susceptibility was available for 10 MDR/CPE strains.
Conclusion: The number of patients colonized by CPE remained stable over the years, while the number of bloodstream infections decreased, as well as the resulting mortality. We conclude that children undergoing chemotherapy are at risk for CPE colonization/infection but the awareness of their colonization status may allow reducing CPE morbidity and mortality. J Microbiol Infect Dis 2021; 11(1):27-31.

Key words: Carbapenemase-producing Enterobacteriaceae, children, oncology, hematology, infection control


 
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How to Cite this Article
Pubmed Style

Caselli D, Colombini A, Zama D, Castagnola E, Muggeo P, Spina ML, Perruccio K, Santis RD, Carraro F, Mercolini F, Petris MG, Onofrillo D, Mura R, Cesaro S. Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. J Microbiol Infect Dis. 2021; 11(1): 27-31 . doi:10.5799/jmid.897193

Web Style

Caselli D, Colombini A, Zama D, Castagnola E, Muggeo P, Spina ML, Perruccio K, Santis RD, Carraro F, Mercolini F, Petris MG, Onofrillo D, Mura R, Cesaro S. Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. https://www.jmidonline.org/?mno=302657010 [Access: January 09, 2025]. doi:10.5799/jmid.897193

AMA (American Medical Association) Style

Caselli D, Colombini A, Zama D, Castagnola E, Muggeo P, Spina ML, Perruccio K, Santis RD, Carraro F, Mercolini F, Petris MG, Onofrillo D, Mura R, Cesaro S. Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. J Microbiol Infect Dis. 2021; 11(1): 27-31 . doi:10.5799/jmid.897193


Vancouver/ICMJE Style

Caselli D, Colombini A, Zama D, Castagnola E, Muggeo P, Spina ML, Perruccio K, Santis RD, Carraro F, Mercolini F, Petris MG, Onofrillo D, Mura R, Cesaro S. Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. J Microbiol Infect Dis. (2021), [cited January 09, 2025]; 11(1): 27-31 . doi:10.5799/jmid.897193


Harvard Style

Caselli, D., Colombini, . A., Zama, . D., Castagnola, . E., Muggeo, . P., Spina, . M. L., Perruccio, . K., Santis, . R. D., Carraro, . F., Mercolini, . F., Petris, . M. G., Onofrillo, . D., Mura, . R. & Cesaro, . S. (2021) Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. J Microbiol Infect Dis, 11 (1), 27-31 . doi:10.5799/jmid.897193


Turabian Style

Caselli, Desiree, Antonella Colombini, Daniele Zama, Elio Castagnola, Paola Muggeo, Milena La Spina, Katia Perruccio, Raffaella De Santis, Francesca Carraro, Federico Mercolini, Maria Grazia Petris, Daniela Onofrillo, Rossella Mura, and Simone Cesaro. 2021. Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. Journal of Microbiology and Infectious Diseases, 11 (1), 27-31 . doi:10.5799/jmid.897193


Chicago Style

Caselli, Desiree, Antonella Colombini, Daniele Zama, Elio Castagnola, Paola Muggeo, Milena La Spina, Katia Perruccio, Raffaella De Santis, Francesca Carraro, Federico Mercolini, Maria Grazia Petris, Daniela Onofrillo, Rossella Mura, and Simone Cesaro. "Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control." Journal of Microbiology and Infectious Diseases 11 (2021), 27-31 . doi:10.5799/jmid.897193


MLA (The Modern Language Association) Style

Caselli, Desiree, Antonella Colombini, Daniele Zama, Elio Castagnola, Paola Muggeo, Milena La Spina, Katia Perruccio, Raffaella De Santis, Francesca Carraro, Federico Mercolini, Maria Grazia Petris, Daniela Onofrillo, Rossella Mura, and Simone Cesaro. "Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control." Journal of Microbiology and Infectious Diseases 11.1 (2021), 27-31 . Print. doi:10.5799/jmid.897193


APA (American Psychological Association) Style

Caselli, D., Colombini, . A., Zama, . D., Castagnola, . E., Muggeo, . P., Spina, . M. L., Perruccio, . K., Santis, . R. D., Carraro, . F., Mercolini, . F., Petris, . M. G., Onofrillo, . D., Mura, . R. & Cesaro, . S. (2021) Bacteremia due to Carbapenemase-producing Enterobacteriaceae in Pediatric Hematology-Oncology Can Be Reduced by Measures of Hospital Infection Control. Journal of Microbiology and Infectious Diseases, 11 (1), 27-31 . doi:10.5799/jmid.897193


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Journal of Microbiology and Infectious Diseases

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