OUTBREAK OF GENTAMICIN, CIPROFLOXACIN-RESISTANT PSEUDOMONAS-AERUGINOSA IN AN INTENSIVE-CARE UNIT, TRACED TO CONTAMINATED QUIVERS

被引：23

作者：

JUMAA, P ^{[1
]}

CHATTOPADHYAY, B ^{[1
]}

机构：

[1] WHIPPS CROSS HOSP & CHEST CLIN,PUBL HLTH LAB,LONDON E11 1NR,ENGLAND

来源：

JOURNAL OF HOSPITAL INFECTION | 1994年 / 28卷 / 03期

关键词：

PSEUDOMONAS AERUGINOSA; INTENSIVE CARE UNIT; SUCTION; QUIVER;

D O I：

10.1016/0195-6701(94)90103-1

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 gentamicin, ciprofloxacin-resistant Pseudomonas aeruginosa in an intensive care unit, was investigated. The majority of isolates were from sputum and the organism was not isolated from any other patient in the hospital, except those admitted to the unit. A prospective study was set up, and the organism was found to be associated with contaminated quivers, used to store suction tubing between use on ventilated patients. Once the quivers were disinfected and changed between patients daily, the outbreak stopped. Suction of ventilated patients may be an important source of contamination of the respiratory tract with nosocomial pathogens. It is important that infection control teams regularly review procedures to ensure the correct practices are being followed, so that nosocomial outbreaks of infection may be prevented.

引用

页码：209 / 218

页数：10

共 20 条

[1] PSEUDOMONAS INFECTION OF THE BILIARY SYSTEM RESULTING FROM USE OF A CONTAMINATED ENDOSCOPE [J].

ALLEN, JI ;

ALLEN, MO ;

OLSON, MM ;

GERDING, DN ;

SHANHOLTZER, CJ ;

MEIER, PB ;

VENNES, JA ;

SILVIS, SE .

GASTROENTEROLOGY, 1987, 92 (03) :759-763

[2] ACQUISITION OF ENDEMIC PSEUDOMONAS-AERUGINOSA ON AN INTENSIVE THERAPY UNIT [J].

ALLEN, KD ;

BARTZOKAS, CA ;

GRAHAM, R ;

GIBSON, MF ;

GILBERTSON, AA .

JOURNAL OF HOSPITAL INFECTION, 1987, 10 (02) :156-164

[3] FATE OF INGESTED PSEUDOMONAS-AERUGINOSA IN NORMAL PERSONS [J].

BUCK, AC ;

COOKE, EM .

JOURNAL OF MEDICAL MICROBIOLOGY, 1969, 2 (04) :521-&

[4] INCIDENCE OF COLONIZATION, NOSOCOMIAL PNEUMONIA, AND MORTALITY IN CRITICALLY ILL PATIENTS USING A TRACH CARE CLOSED-SUCTION SYSTEM VERSUS AN OPEN-SUCTION SYSTEM - PROSPECTIVE, RANDOMIZED STUDY [J].

DEPPE, SA ;

KELLY, JW ;

THOI, LL ;

CHUDY, JH ;

LONGFIELD, RN ;

DUCEY, JP ;

TRUWIT, CL ;

ANTOPOL, MR .

CRITICAL CARE MEDICINE, 1990, 18 (12) :1389-1393

[5]

GAYA H, 1974, BRIT J HOSP MED, V11, P853

[6]

KALMOS HJ, 1993, J HOSP INFECT, V24, P11

[7] PSEUDOMONAS IN THE SINKS IN AN INTENSIVE-CARE UNIT - RELATION TO PATIENTS [J].

LEVIN, MH ;

OLSON, B ;

NATHAN, C ;

KABINS, SA ;

WEINSTEIN, RA .

JOURNAL OF CLINICAL PATHOLOGY, 1984, 37 (04) :424-427

[8] ISOLATION OF CHLORHEXIDINE-RESISTANT PSEUDOMONAS-AERUGINOSA FROM CLINICAL LESIONS [J].

NAKAHARA, H ;

KOZUKUE, H .

JOURNAL OF CLINICAL MICROBIOLOGY, 1982, 15 (01) :166-168

[9] BACTERIAL-CONTAMINATION OF ENTERAL FEEDS AS A POSSIBLE RISK OF NOSOCOMIAL INFECTION [J].

NAVAJAS, MFC ;

CHACON, DJ ;

SOLVAS, JFG ;

VARGAS, RG .

JOURNAL OF HOSPITAL INFECTION, 1992, 21 (02) :111-120

[10]

Pollack M., 1990, PRINCIPLES PRACTICE, P1673

← 1 2 →