ESBLs

[John Ferguson]

Dear All

We’ve not contact isolated ESBLs for many years at John Hunter or elsewhere in HNE
However we do have a very low third gen ceph usage in the hospital which i’ve thought might protect us from transmssion. We also monitor closely with molecular typing of the ESBLs that turn up, including ICU screening etc. We’ve never identified a cluster and so I’ve been disinclined to change.

Joshua Freeman has addressed the issue in a recent publication – ICHE july 2012 and spoke to this at the MRGN meeting. He makes a case for Kleb pneumo ESBLs given their greater ability to survive in the env etc. I will also address the issue at the conference in my talk. (all our local ESBLs are E coli or Enterobacter BTW)

Regards
John

John Ferguson
Infectious Diseases Physician and Microbiologist,
Hunter New England Health, John Hunter Hospital, Newcastle
Conjoint Associate Professor, University of Newcastle
Tel 61 2 49214444, Fax 61 2 49214440, Mobile +61428 885573, Nepal mobile +977 9813654124

The website for Dr Ferguson’s teaching and other useful infectious diseases, microbiology and infection control resources is at http://hicsigwiki.asid.net.au/index.php?titleCategory:Nepal

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