doi:10.1093/jac/dks041 Emergence of NDM-1-producing

New Delhi metallo-b-lactamase (NDM) is a class B b-lactamase that confers resistance to virtually all b-lactams, including carbapenems. Initially reported in Sweden in Enterobacteriaceae isolates from a patient transferred from India, NDM-1 is currently spreading worldwide, including Belgium, especially in Enterobac-teriaceae.1 Recently the presence of blaNDM-1 was also reported in Acinetobacter baumannii isolates from India, China and Germany, suggesting a broad host range distribution of this gene.2 – 4 Here, we report an NDM-1-producing A. baumannii detected in Belgium that was isolated from a patient following medical repatriation from Algeria. In early 2011, a young male patient was admitted to the emergency ward of an Algerian hospital for severe cranial and thoracic trauma following a road traffic accident. He presented with a Glasgow Coma Score (GCS) of 07/15 and was rapidly intu