Outbreak of carbapenem-resistant Acinetobacter baumannii in the intensive care unit: a multi-level strategic management approach

被引：39

作者：

Molter, G. ^{[1
]}

Seifert, H. ^{[2
,3
]}

Mandraka, F. ^{[4
]}

Kasper, G. ^{[5
]}

Weidmann, B. ^{[6
]}

Hornei, B. ^{[7
]}

Oehler, M. ^{[8
]}

Schwimmbeck, P. ^{[6
]}

Kroeschel, P. ^{[9
]}

Higgins, P. G. ^{[2
]}

Reuter, S. ^{[4
,5
]}

机构：

[1] Klinikum Leverkusen, Dept Anaesthesiol & Intens Care Med, Gesundheitspk 11, D-51375 Leverkusen, Germany

[2] Univ Hosp Cologne, Inst Med Microbiol Immunol & Hyg, Cologne, Germany

[3] German Ctr Infect Res, Partner Site Cologne, Bonn, Germany

[4] Klinikum Leverkusen, Dept Infect Dis & Gen Internal Med, Gesundheitspk 11, D-51375 Leverkusen, Germany

[5] Klinikum Leverkusen, Dept Infect Control, Gesundheitspk 11, D-51375 Leverkusen, Germany

[6] Klinikum Leverkusen, Dept Cardiol & Intens Care Med, Gesundheitspk 11, D-51375 Leverkusen, Germany

[7] Synlab Lab Serv, Leverkusen, Germany

[8] City Leverkusen, Dept Publ Hlth, Leverkusen, Germany

[9] Klinikum Leverkusen, Inst Clin Pharmacol, Gesundheitspk 11, D-51375 Leverkusen, Germany

来源：

JOURNAL OF HOSPITAL INFECTION | 2016年 / 92卷 / 02期

关键词：

Infection control; Intensive care unit; Intervention; Management; Multidrug resistance; Transmission; INFECTION; SPREAD;

D O I：

10.1016/j.jhin.2015.11.007

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

100235 [预防医学];

摘要：

An outbreak of carbapenem-resistant Acinetobacter baumannii (CRAb) occurred in an interdisciplinary intensive care unit, affecting 10 patients. Within hours of recognition of the spread of CRAb an intervention team was instituted for collection of available data, decision-making, communication and monitoring of all interventions performed, including cohorting, temporary stop of admissions, staff education, and enforcement of infection control measures. An area was defined for cohortation of patients colonized with CRAb, with a separate nursing team and a second set of mobile equipment. New transmissions were no longer observed after only four days into the institution of enhanced infection control measures. (C) 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：194 / 198

页数：5

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