Medecine et maladies infectieuses · 2014
Management and control of a carbapenem-resistant Acinetobacter baumannii outbreak in an intensive care unit.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Alfandari S, Gois J, Delannoy P-Y, Georges H, Boussekey N, Chiche A, Meybeck A, Patoz P, Blondiaux N, Senneville E, Melliez H, Leroy O
Аннотация
OBJECTIVE: We had for aim to describe the identification and management of a 14-clonal carbapenem-resistant Acinetobacter baumannii (CRAB) outbreak, following admission of a known CRAB-infected patient in an ICU.
METHODS: We reviewed the carriers' files and outbreak management procedures.
RESULTS: The index patient was admitted with strict isolation precautions. The outbreak started 2 months after his discharge. It persisted despite reinforcement of strict isolation precautions, staff and patient cohorting, and extensive environmental decontamination including 2 rounds of routine terminal cleaning and disinfection or 1 round of cleaning and disinfection followed by hydrogen peroxide treatment. A second epidemic peak, after 4 weeks without any case, led to another wide environmental sampling and decontamination rounds. The source of the CRAB outbreak was suspected to be the blood pressure cuffs Velcro. Switching to cuffs submersible in a disinfectant stopped the outbreak.
CONCLUSIONS: CRAB outbreaks are difficult to manage and sources of persistent colonization can be unexpected.
METHODS: We reviewed the carriers' files and outbreak management procedures.
RESULTS: The index patient was admitted with strict isolation precautions. The outbreak started 2 months after his discharge. It persisted despite reinforcement of strict isolation precautions, staff and patient cohorting, and extensive environmental decontamination including 2 rounds of routine terminal cleaning and disinfection or 1 round of cleaning and disinfection followed by hydrogen peroxide treatment. A second epidemic peak, after 4 weeks without any case, led to another wide environmental sampling and decontamination rounds. The source of the CRAB outbreak was suspected to be the blood pressure cuffs Velcro. Switching to cuffs submersible in a disinfectant stopped the outbreak.
CONCLUSIONS: CRAB outbreaks are difficult to manage and sources of persistent colonization can be unexpected.
Предметные рубрики MeSH
Acinetobacter InfectionsAcinetobacter baumanniiAdultAnal CanalAnti-Bacterial AgentsCarbapenemsCarrier StateCross InfectionDecontaminationDisease OutbreaksDisinfectantsDisinfectionDrug Resistance, MicrobialEquipment ContaminationEquipment and Supplies, HospitalFranceHospitals, GeneralHumansHydrogen PeroxideIntensive Care UnitsMalePatient IsolationPatients' RoomsPersonnel, HospitalPharynxSphygmomanometersUniversal Precautions