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SG-APSIC1095: Acquisition rate of carbapenemase-producing organisms (CPOs) among hospital contacts of CPO patients: An interim subgroup analysis of a cohort study

Published online by Cambridge University Press:  16 March 2023

Sharifah Farhanah Syed Husen
Affiliation:
National Centre for Infectious Diseases, Singapore
Kyaw Zaw Linn
Affiliation:
National Public Health & Epidemiology Unit, National Centre for Infectious Diseases, Singapore
Clara Chong Hui Ong
Affiliation:
Infectious Disease Research and Training Office, National Centre for Infectious Diseases, Singapore
Xiaowei Huan
Affiliation:
Infectious Disease Research and Training Office, National Centre for Infectious Diseases, Singapore
Liang Hui Loo
Affiliation:
Infectious Disease Research and Training Office, National Centre for Infectious Diseases, Singapore
Ismail Bin Sazali
Affiliation:
Infection Prevention & Epidemiology, Singapore General Hospital, Singapore
Shawn Vasoo
Affiliation:
Infectious Diseases, Tan Tock Seng Hospital, Singapore
Meow Ling Foo
Affiliation:
Infection Control, Khoo Teck Puat Hospital, Singapore
Say Tat Ooi
Affiliation:
General Medicine, Khoo Teck Puat Hospital, Singapore
Thean Yen Tan
Affiliation:
Lab Medicine, Changi General Hospital, Singapore
Nares Smitasin
Affiliation:
Infectious Diseases, National University Hospital, Singapore
Moi Lin Ling
Affiliation:
Infection Prevention & Epidemiology, Singapore General Hospital, Singapore
Paul Anantharajah Tambyah
Affiliation:
Infectious Diseases, National University Hospital, Singapore
Seow Yen Tan
Affiliation:
Infectious Diseases, Changi General Hospital, Singapore
Oon Tek Ng
Affiliation:
Infectious Diseases, Tan Tock Seng Hospital, Singapore
Kalisvar Marimuthu
Affiliation:
Infectious Diseases, Tan Tock Seng Hospital, Singapore

Abstract

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Objectives: The increase in carbapenemase-producing organism (CPO) transmission among hospitalized patients is a growing concern. Studies investigating the transmission of CPO to epidemiologically linked contacts are scarce. We conducted an interim subgroup analysis of the ongoing multicenter household transmission of CPO in Singapore (CaPES-C) study to identify the acquisition rate of CPO among epidemiologically linked contacts of hospitalized CPO patients. Methods: This multicenter prospective cohort study was conducted between January and December 2021. We recruited CPO-positive patients and their epidemiologically linked contacts. Stool samples were collected from the patients at baseline, day 3, day 7, and at weeks 2, 3, 4, 5, 6, 12, 24, 36, and 48. Additionally, a sample was collected at the time of discharge from the hospital. Xpert Carba-R test was used to detect CPO genotypes in the stool samples. In this interim analysis, we calculated the acquisition rate of CPO among the epidemiologically linked hospital contacts of CPO positive patients using Stata version 15 software. Results: We recruited 22 (56.4%) CPO-positive index patients [blaNDM, n = 7 (31.8%); blaIMP, n = 3 (13.6%); blaOXA-48, n = 10 (45.5%), others, n = 2 (9.1%)] and 14 (35.9%) epidemiologically linked hospital contacts. The median age of CPO-positive patients was 72.5 years (IQR, 62–82) and 15 (68.2%) were female. The median age for the epidemiologically linked contacts was 82.5 years (IQR, 70–85) and 4 (28.6%) were female. After 1,082 patient days, 2 (14.3%) epidemiologically linked contacts tested positive for CPO giving an acquisition rate of 1.85 per 1,000 patient days (95% CI, 0.46 – 7.39). One of these participants acquired a concordant genotype (blaOXA-48) at day 7 and the other acquired a discordant genotype (CPO positive index, blaIMP; epidemiologically linked contact, blaNDM) at week 12 of follow-up. Conclusions: This small interim analysis revealed a high conversion rate among epidemiologically linked hospital contacts. A larger study is needed to understand the influence of genotypes, hospital environment, and human behavior on the transmission of CPO in hospitals.

Type
Multidrug-Resistant (MDR) Organisms
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America