Neonatal infections with Pseudomonas aeruginosa associated with a water-bath used to thaw fresh frozen plasma

被引：54

作者：

Muyldermans, G ^{[1
]}

de Smet, F ^{[1
]}

Pierard, D ^{[1
]}

Steenssens, L ^{[1
]}

Stevens, D ^{[1
]}

Bougatef, A ^{[1
]}

Lauwers, S ^{[1
]}

机构：

[1] Free Univ Brussels, Acad Ziekenhuis, Dept Microbiol, B-1090 Brussels, Belgium

来源：

JOURNAL OF HOSPITAL INFECTION | 1998年 / 39卷 / 04期

关键词：

Pseudomonas aeruginosa; neonate; hospital infection; water-bath;

D O I：

10.1016/S0195-6701(98)90296-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In our 15-bed neonatal intensive care unit (NICU), four new-borns were found to be colonized or infected with Pseudomonas aeruginosa within a period of one week. To identify the outbreak source, three independent studies were performed: epidemiological investigation, environmental surveillance and genotypic typing of isolates. Although epidemiological investigation by a case-control study revealed no conclusive results, the transfusion of fresh frozen plasma (FFP) and human albumin (HA) appeared to be the factor with highest risk. Environmental surveillance and random amplification of polymorphic DNA (RAPD) of isolates identified a water-bath used to warm FFP and HA as the likely reservoir for the outbreak. Further spread of the organism did not occur after elimination of this water-bath from the NICU. RAPD identified in addition an isolate from an infant hospitalized in the NICU five months before the outbreak with a pattern matching the one of the outbreak cluster.

引用

页码：309 / 314

页数：6

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