Systematic screening for digestive carriage of extended-spectrum ß-lactamase-producing Enterobacterales (E-ESBL) at hospital readmission among patients with past history of E-ESBL colonization or infection.

BACKGROUND: Extended-spectrum ß-lactamase-producing Enterobacterales (E-ESBL) are commensal multidrug-resistant (MDR) bacteria of the digestive tract whose prevalence has risen sharply worldwide and in Europe over the past two decades. AIM: To assess digestive carriage at hospital readmission of a large cohort of 2509 patients with E-ESBL carriage over a five-year survey; 833 (33%) patients were readmitted at least once. METHODS: A retrospective, single-centre survey conducted at a tertiary care hospital in France. FINDINGS: Among patients with several hospital readmissions (range: 2-13), the proportion of patients still E-ESBL-colonized at hospital readmission, detected by systematic screening for E-ESBL colonization, was >80% within an 18-month period after prior hospitalization with the first E-ESBL isolation. CONCLUSION: There is a need to reconsider the continuation of systematic screening for E-ESBL colonization because of a high rate of patients still colonized at hospital readmission over a long period of time.

Enterobacter cloacae complex outbreak in a neonatal intensive care unit: multifaceted investigations and preventive measures are needed.

We report the investigation to control an Enterobacter cloacae complex outbreak in a neonatal intensive care unit from November 2020 to February 2021. Pulsed-field gel electrophoresis showed that five of eight cases were infected with a clonal strain. Breast pumps, shared among mothers in the unit, could have contributed to the spread of the clonal spread.

An original calibration technique for soft x-ray detectors and its use in the Tore Supra tomographic system.

This paper describes in detail the recent progresses which have been made in Tore Supra for developing a new technique of calibration of the soft x-ray (SXR) detectors in the range 1-30 keV. The diode response as a function of the flux of photons resulted accurately linear over almost three orders of magnitude. Apart from a limited number of deficient detectors, promptly replaced with new ones, the spread of the diode responses (84 detectors) is about 20% total of the average value. It allowed the derivation of the calibration factor for each detector of the tomography system. The effect of the environmental temperature, in the range 15 degrees-40 degrees, has also been studied, revealing that up to 35 degrees the linearity of diode response and these calibration factors remain constant. It demonstrates the capability of discriminating slight and localized changes in the two dimensional spatial distribution of the SXR intensity.