Clinical and Genomic Epidemiology of Carbapenem-Nonsusceptible Citrobacter spp. at a Tertiary Health Care Center over 2 Decades

Author:

Babiker Ahmed12ORCID,Evans Daniel R.1,Griffith Marissa P.12,McElheny Christi L.1,Hassan Mohamed3,Clarke Lloyd G.1,Mettus Roberta T.1,Harrison Lee H.124,Doi Yohei1,Shields Ryan K.1,Van Tyne Daria1ORCID

Affiliation:

1. Division of Infectious Diseases, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

2. Microbial Genomic Epidemiology Laboratory, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

3. Division of General Internal Medicine, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

4. Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA

Abstract

Carbapenem-nonsusceptible Citrobacter spp. (CNSC) are increasingly recognized as health care-associated pathogens. Information regarding their clinical epidemiology, genetic diversity, and mechanisms of carbapenem resistance is lacking. We examined microbiology records of adult patients at the University of Pittsburgh Medical Center (UMPC) Presbyterian Hospital (PUH) from 2000 to 2018 for CNSC, as defined by ertapenem nonsusceptibility. Over this time frame, the proportion of CNSC increased from 4% to 10% ( P =  0.

Funder

University of Pittsburgh Department of Medicine

HHS | National Institutes of Health

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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