Sepsis & infection

Genomic dynamics of antimicrobial resistance transmission between bacteria from intensive care unit surfaces and from critically ill patients

Crit CarePublished Cross-sectional study

Authors' conclusion

The findings of this research show that antimicrobial resistance genes are transferred between bacteria on surfaces and bacteria in critically ill patients, and that this transfer occurs in both directions.

Study context

Population
Intensive Care Unit (ICU) surfaces and critically ill patients with infections
Participants
130 positive isolates
Exposure
Environmental vs Patient
  • Environmentaln = 96
  • Patientn = 34
Outcome
Genomic dynamics of transmission of AMR genes between bacteria from ICU surfaces and from critically ill patients
Methodological detailsanalytical, whole-genome sequencing (nanopore long-read)
  • Analytical
  • Whole-genome sequencing (nanopore long-read)

Main finding

As reported in the abstract

Multidrug-resistant (MDR) species identified
40 (30.76%)
Horizontal transfer of resistance genes via plasmid conjugation in suction units, oxygen valves and tracheal secretion
3 cases

Observational data: associations, not effects.

Original publication

Genomic dynamics of antimicrobial resistance transmission between bacteria from intensive care unit surfaces and from critically ill patients. Crit Care. Published 1 July 2026. doi:10.1186/s13054-026-06162-y

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