{"doi":"10.1016/j.ajic.2024.07.013","title":"Clusters of emerging multidrug-resistant organisms in US health care facilities during the initial months of the SARS-CoV-2 pandemic","abstract":"BACKGROUND: Outbreaks of emerging multidrug-resistant organisms (eMDROs), including carbapenem-resistant Enterobacterales, carbapenem-resistant Acinetobacter baumannii, and Candida auris, have been reported among severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patients. We describe eMDRO clusters in SARS-CoV-2 units and associated infection control (IC) practices early in the SARS-CoV-2 pandemic. METHODS: We conducted a retrospective survey of a convenience sample of health departments in 11 states to describe clusters of eMDROs that began before November 1, 2020 and involved SARS-CoV-2 units. Cluster characteristics and IC practices during the cluster period were assessed using a standardized outbreak report form, and descriptive analyses were performed. RESULTS: Overall, 18 eMDRO clusters (10 carbapenem-resistant Enterobacterales, 6 C auris, 1 carbapenem-resistant Pseudomonas aeruginosa, and 1 carbapenem-resistant A baumannii) in 18 health care facilities involving 397 patients were reported from 10 states. During the cluster period, 60% of facilities reported a shortage of isolation gowns, 69% extended use of gowns, and 67% reported difficulty obtaining preferred disinfectants. Reduced frequency of hand hygiene audits was reported in 85% of acute care hospitals during the cluster period compared with before the pandemic. CONCLUSIONS: Changes in IC practices and supply shortages were identified in facilities with eMDRO outbreaks during the SARS-CoV-2 pandemic and might have contributed to eMDRO transmission.","journal":"American Journal of Infection Control","year":2024,"id":459880,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9532,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":243176,"name":"Ruoran Li","orcid":"0000-0001-7575-2758","position":1,"is_corresponding":false},{"id":1287387,"name":"Tisha Mitsunaga","orcid":null,"position":2,"is_corresponding":false},{"id":418646,"name":"Christopher A. Czaja","orcid":"0000-0002-1742-514X","position":3,"is_corresponding":false},{"id":687864,"name":"Christopher Prestel","orcid":"0000-0001-6835-8023","position":4,"is_corresponding":false},{"id":1210556,"name":"Sandeep Bhaurla","orcid":null,"position":5,"is_corresponding":false},{"id":1287388,"name":"Melissa Cumming","orcid":null,"position":6,"is_corresponding":false},{"id":1287389,"name":"Brenda Brennan","orcid":null,"position":7,"is_corresponding":false},{"id":313736,"name":"Gabriel K. Innes","orcid":"0000-0002-8206-3608","position":8,"is_corresponding":false},{"id":1287390,"name":"Savannah Carrico","orcid":null,"position":9,"is_corresponding":false},{"id":1133984,"name":"Allison Chan","orcid":"0000-0003-4270-0358","position":10,"is_corresponding":false},{"id":1286933,"name":"Enyinnaya Merengwa","orcid":"0000-0002-6359-6687","position":11,"is_corresponding":false},{"id":960592,"name":"Anna Stahl","orcid":"0000-0001-6722-1279","position":12,"is_corresponding":false},{"id":272889,"name":"Belinda Ostrowsky","orcid":null,"position":13,"is_corresponding":false},{"id":371091,"name":"Marie A. de Perio","orcid":"0000-0001-5100-8422","position":14,"is_corresponding":false},{"id":271205,"name":"Maroya Spalding Walters","orcid":"0000-0002-1090-7621","position":15,"is_corresponding":false},{"id":449933,"name":"D. Cal Ham","orcid":"0000-0003-2828-8600","position":0,"is_corresponding":true}],"reference_count":16,"raw_metadata":null,"created_at":"2026-07-19T02:03:59.428859Z","pmid":"39089494","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}