New Delhi metallo-beta-lactamase-producing enterobacteriaceae in an Australian child who had not travelled overseas

To the Editor: The editorial by Looke and colleagues in the 18 March 2013 issue of the Journal highlighted the increasing threat of gram-negative resistance.1 Since its description in 2009,2 gram-negative bacteria carrying the gene for New Delhi metallo-beta-lactamase-1 (NDM-1) production have been observed globally. To date, a small number of cases have been reported in adults in Australia.3-5 In all cases, patients travelled to the Indian subcontinent; many required hospitalisation for their infection. We report the first case of NDM-1-producing Enterobacteriaceae in a young infant who had not travelled outside Australia.