Control of an outbreak of carbapenem-resistant Pseudomonas aeruginosa in a haemato-oncology unit.
J Hosp Infect
; 79(1): 49-53, 2011 Sep.
Article
em En
| MEDLINE
| ID: mdl-21722990
ABSTRACT
An outbreak of a multidrug-resistant Pseudomonas aeruginosa producing metallo-ß-lactamase (MBLPA) in a haemato-oncology unit was controlled using multidisciplinary interventions. The present study assesses the effects of these interventions by active surveillance of the incidence of MBLPA infection at the 1,240-bed tertiary care Kyoto University Hospital in Kyoto, Japan. Infection control strategies in 2004 included strengthening contact precautions, analysis of risk factors for MBLPA infection and cessation of urine collection. However, new MBLPA infections were identified in 2006, which prompted enhanced environmental cleaning, routine active surveillance, and restricting carbapenem usage. Between 2004 and 2010, 17 patients in the unit became infected with indistinguishable MBLPA strains. The final five infected patients were found by routine active surveillance, but horizontal transmission was undetectable. The MBLPA outbreak in the haemato-oncology unit was finally contained in 2008.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pseudomonas aeruginosa
/
Infecções por Pseudomonas
/
Carbapenêmicos
/
Infecção Hospitalar
/
Surtos de Doenças
/
Controle de Infecções
/
Farmacorresistência Bacteriana Múltipla
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Hosp Infect
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Japão