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A large sustained endemic outbreak of multiresistant Pseudomonas aeruginosa : a new epidemiological scenario for nosocomial acquisition by Cristina Suarez; Carmen Peña; Olga Arch; M Angeles Dominguez; Fe Tubau; Carlos Juan; Laura Gavaldá; Mercedes Sora; Antonio Oliver; Miquel Pujol; Javier Ariza is a Medicine article available to read on EtoBox.
What is A large sustained endemic outbreak of multiresistant Pseudomonas aeruginosa : a new epidemiological scenario for nosocomial acquisition about?
## Background Studies of recent hospital outbreaks caused by multiresistant __P.aeruginosa__ (MRPA) have often failed to identify a specific environmental reservoir. We describe an outbreak due to a single clone of multiresistant (MR) __Pseudomonas aeruginosa__ (PA) and evaluate the effectiveness of the surveillance procedures and control measures applied. ## Methods Patients with MRPA isolates were prospectively identified (January 2006-May 2008). A combined surveillance procedure (environmental survey, and active surveillance program in intensive care units [ICUs]) and an infection control strategy (closure of ICU and urology wards for decontamination, strict compliance with cross-transmission prevention protocols, and a program restricting the use of carbapenems in the ICUs) was designed and implemented. ## Results Three hundred and ninety patients were identified. ICU patients were the most numerous group (22%) followed by urology patients (18%). Environmental surveillance found that 3/19 (16%) non-ICU environmental samples and 4/63 (6%) ICU samples were positive for the MRPA clonal strain. In addition, active surveillance found that 19% of patients were fecal carriers of MRPA.
Who reads A large sustained endemic outbreak of multiresistant Pseudomonas aeruginosa : a new epidemiological scenario for nosocomial acquisition?
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- Author
- Cristina Suarez; Carmen Peña; Olga Arch; M Angeles Dominguez; Fe Tubau; Carlos Juan; Laura Gavaldá; Mercedes Sora; Antonio Oliver; Miquel Pujol; Javier Ariza
- Publisher
- BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2334)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)