Escherichia coli sécréteur de bêta-lactamase à spectre élargi, quelles mesures faut-il prendre pour maîtriser le risque ?

We are living an endemic situation related to the spread of ESBL-producing Enterobacteriaceae. To contain this phenomena we need a high compliance to hand hygiene and standard precautions associated with an efficient control of the antibiotic consumption. However local epidemiological data could justify additional measures. Our priority should be to combat the spread of ESBL-PE, as it is the first step before spreading of Carbapenemase producing enterobacteriaceae.