Bacteria producing beta-lactamase and carbapenemase on the rise in NZ

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Bacteria producing beta-lactamase and carbapenemase on the rise in NZ

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The Registrar Panel

James Ussher
Banana shopping
In India and parts of South-East Asia, 20 to 80 per cent of E. coli isolates are multidrug-resistant strains

Travel in the last six months and failure of empiric treatment are two important red flags for sending a urine sample to the laboratory for culture for antibiotic-resistant strains

A 35-year-old woman presents to her GP with a three-day history of dysuria, frequency and su­prapubic discomfort. Two days prior to presenta­tion she
References

Arcilla MS, van Hattem JM, Haverkate MR et al. Import and spread of extended-spectrum beta-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): a prospective, multicentre cohort study. Lancet Infect Dis 2017;17:78–85.