AMR-DetecTool for the Diagnostic of MDR Bacterial Infections

Inclusion Criteria: * Patient ≥ 18 years-old * Informed patient and non-opposition received * Patients matching with at least one of the following situations: * With a positive blood culture by Gram-staining. Germ must be identified as a Gram-negative bacteria or a Gram-positive cocci in chain (with a special focus on known Vancomycin-Resistant Enterococci (VRE) carrier) * With an urinary tract infection \>104 leukocytes and positive for bacteria (Gram stain or cytometry) * High-risk (HR) patient for carbapenemase-producing Enterobacterales (CPE) carriage (repatriated patients, tourist returning from endemic country, patients coming from an endemic hospital (same country), contact patient, former carrier, and local HR patients (Long-Term Care Facility (LTCF), etc…)) who have been sampled a rectal swab for routine testing * With a bronchoalveolar lavage (BAL) or tracheal aspirate (TA) sample and diagnosed as carrier of any of the targeted resistance genes (10-35% chance to develop a Ventilator-associated pneumonia (VAP) with the MDR bacteria) Exclusion Criteria: * Patient participation refusal * Patient subject to judicial protection measure, under tutorship or curatorship * Patient not-speaking the language spoken in the country of inclusion and without accompanying translator * Any different sample from the above 4 mentioned one Pregnant women are not excluded to this non-interventional study, as the study does not result in any change in the standard care received by the…