Volume 26, Number 11—November 2020
Dispatch
KPC-3–Producing Serratia marcescens Outbreak between Acute and Long-Term Care Facilities, Florida, USA
Adriana Jimenez
, Lilian M. Abbo, Octavio Martinez, Bhavarth Shukla, Kathleen Sposato, Alina Iovleva, Erin Louise Fowler, Christi Lee McElheny, and Yohei Doi
, Lilian M. Abbo, Octavio Martinez, Bhavarth Shukla, Kathleen Sposato, Alina Iovleva, Erin Louise Fowler, Christi Lee McElheny, and Yohei Doi
Table 1
Characteristics of patients with KPC-3–producing Serratia marcescens infection, Miami, Florida, USA*
| Characteristic | Value, N = 14 |
|---|---|
| Sex |
|
| M |
5 (35) |
| F |
9 (65) |
| Median age |
63 (22–89) |
| Median total length of stay, d |
23 (3–74) |
| Hospital onset |
5 (36) |
| Community onset |
9 (64) |
| Median length of stay to positive culture, d |
9 (0–73) |
| Hemodialysis dependent |
7 (50) |
| Ventilator dependent (tracheostomy) |
14 (100) |
| PEG tube |
14 (100) |
| Positive clinical culture source |
|
| Respiratory tract |
13 (93) |
| Blood |
3 (21) |
| Clinical infection |
10 (71) |
| Pneumonia |
9 (90) |
| Bloodstream infection |
4 (40) |
| Colonized |
4 (29) |
| Other MDR-GNR isolated |
|
| Carbapenem-resistant Pseudomonas
aeruginosa |
11 (79) |
| KPC-producing Klebsiella pneumoniae |
1 (7) |
| Carbapenem-resistant Acinetobacter
baumannii |
2 (14) |
| Concurrent condition |
|
| Diabetes |
5 (36) |
| Congestive heart failure |
3 (21) |
| Myocardial infarction |
1 (7) |
| ESRD |
7 (50) |
| Dementia |
1 (21) |
| COPD |
2 (14) |
| CVA |
8 (57) |
| Chronic respiratory failure |
7 (50) |
| Hypertension |
9 (64) |
| Discharged disposition |
|
| Died |
3 (21) |
| Home with home-healthcare |
2 (14) |
| Back to source LTCF |
6 (43) |
| Other LTCF |
3 (21) |
| *Values are no. (%) except as indicated. COPD, chronic obstructive pulmonary disease; CVA, cerebrovascular accident; ESRD, end-stage renal disease; KPC, Klebsiella pneumoniae carbapenemase; LTCF, long-term care facility; MDR-GNR, multidrug resistant gram-negative rods; PEG, percutaneous endoscopic gastrostomy. |
|
Page created: September 15, 2020
Page updated: October 19, 2020
Page reviewed: October 19, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.