Role of environmental cleaning in controlling an outbreak of Acinetobacter baumannii on a neurosurgical intensive care unit

被引:147
作者
Denton, M
Wilcox, MH
Parnell, P
Green, D
Keer, V
Hawkey, PM
Evans, I
Murphy, P
机构
[1] Gen Infirm, Dept Microbiol, Leeds LS1 3EX, W Yorkshire, England
[2] Univ Leeds, Div Microbiol, Leeds LS2 9JT, W Yorkshire, England
[3] Univ Leeds, Dept Infect Control, Leeds LS2 9JT, W Yorkshire, England
关键词
Acinetobacter baumaii; outbreak control; environmental cleaning;
D O I
10.1016/j.jhin.2003.10.017
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
An outbreak of Acinetobacter baumannii colonization and infection occurred in 19 patients over a 14-month period during 1998-1999 on a neurosurgical intensive care unit. During efforts to control the outbreak a significant correlation was observed between the number of environmental isolates of A. baumannii obtained during each monthly screening and the number of patients with A. baumannii colonization/infection in the same calendar month (P = 0.004). Use of 1000 ppm hypochlorite solution and the introduction of new cleaning protocols reduced the number of environmental isolates. Failure to maintain tow levels of environmental contamination with A. baumannii resulted in increases in patient colonization. This study showed that high standards of cleaning play an integral role in controlling outbreaks of A. baumannii in the intensive care unit setting. (C) 2004 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:106 / 110
页数:5
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