Investigation of an outbreak of device-related postoperative ventriculitis: a lesson learnt.

Autor: Veena Kumari HB; Department of Neuromicrobiology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengalur, India. acmuki@nimhans.kar.nic.in, Nagarathna S, Chandramouli BA, Umamaheshwara Rao GS, Chandramuki A
Jazyk: angličtina
Zdroj: Indian journal of pathology & microbiology [Indian J Pathol Microbiol] 2008 Apr-Jun; Vol. 51 (2), pp. 301-3.
DOI: 10.4103/0377-4929.41697
Abstrakt: Pseudomonas aeruginosa (P aeruginosa) is one of the most common nosocomial pathogens. We report our experience of a device-related outbreak of postoperative ventriculitis caused by P aeruginosa thus initiating investigation of the unusual occurrence. Five neurosurgical patients were affected, postoperatively. The investigations entailed extensive screening of the common sources of contamination for colonization of P aeruginosa. Sterilized instruments used for surgery, including the ultrasonic aspirator (USA) sets and other hollow devices, were randomly sampled and cultured. Conventional culture methods yielded P aeruginosa, with almost similar antibiotic sensitivity pattern in all the patients and the ultrasonic aspirator, clinching the source of contamination. Routine surveillance, identification of unusual patterns, molecular epidemiological typing would be helpful in quick control of outbreaks of postoperative infections.
Databáze: MEDLINE