Transmission of metallo-β-lactamase-producing Pseudomonas aeruginosa in a nephrology-transplant intensive care unit with potential link to the environment
Transmission of metallo-β-lactamase-producing Pseudomonas aeruginosa in a nephrology-transplant intensive care unit with potential link to the environment
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DOI：
10.1016/j.jhin.2015.09.007
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发表时间：
2016-01-01
影响因子：
6.9
通讯作者：
Malavaud, S.
中科院分区：
文献类型：
--
作者：
Ambrogi, V.;Cavalie, L.;Malavaud, S.
铜绿假单胞菌已在医院从许多不同的来源，包括水槽和水龙头回收。由于铜绿假单胞菌是医院感染的主要病原体之一，并且对抗生素的耐药性越来越强，因此医院环境中的细菌储存库值得高度关注。我们在这里报告一个群集的五例感染的铜绿假单胞菌表达VIM碳青霉烯酶（VIM- pa）在肾病重症监护室。我们的调查表明，VIM-PA是通过与受污染的水龙头有关的手传播的。如果存在环境宿主，VIM-PA可能会交叉传播给其他患者。水槽和水龙头应精心设计，彻底清洁和消毒，并应提倡使用酒精洗手液。(C) 2015年卫生保健感染学会。Elsevier Ltd.出版。版权所有。
Pseudomonas aeruginosa has been recovered in hospitals from many different sources including sinks and taps. Because P. aeruginosa is one of the main agents of nosocomial infections and increasingly resistant to antibiotics, environmental reservoirs in hospital settings are of great concern. We report here on a cluster of five cases of infection by P. aeruginosa expressing VIM carbapenemases (VIM-PA) in a nephrology intensive care unit. Our investigation pointed to transmission of VIM-PA via hands related to a contaminated tap. VIM-PA may be cross-transmitted to other patients if an environmental reservoir exists. Sinks and taps should be well designed and thoroughly cleaned and disinfected, and use of alcohol hand rub should be promoted. (C) 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.