Imipenemase-producing carbapenem-resistant Enterobacteriaceae transmission in a long-term-care facility during a community-wide multidrug resistant organism outbreak—North Carolina, 2017

We describe an outbreak of imipenemase metallo-β-lactamase–producing organisms in a long-term-care facility (LTCF) amid a larger community outbreak of extended-spectrum β-lactamase–producing organisms. Transmission was propagated by inadequate infection prevention practices. We provided infection prevention recommendations and education, facilitated colonization screening, and increased interfacility communication. This outbreak demonstrates the...