Gastroscopy-associated transmission of extended-spectrum beta-lactamase-producing Pseudomonas aeruginosa
Autor: | G. Thiefin, Véronique Vernet-Garnier, Lucien Brasme, F. Bureau-Chalot, Odile Bajolet, Dragos Florin Ciocan, C. De Champs, G. Cadiot, C. Vallet, Thomas Guillard |
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Rok vydání: | 2013 |
Předmět: |
Adult
Microbiology (medical) Cross infection medicine.medical_specialty Endoscope medicine.medical_treatment medicine.disease_cause beta-Lactamases Teaching hospital Drug Resistance Multiple Bacterial Gastroscopy Humans Medicine Pseudomonas Infections Hospitals Teaching Aged Gastrointestinal endoscopy Aged 80 and over Disinfection methods Cross Infection Infection Control business.industry Pseudomonas aeruginosa Guideline adherence General Medicine Middle Aged Surgery Disinfection Infectious Diseases Beta-lactamase France Guideline Adherence business Gastroscopes |
Zdroj: | Journal of Hospital Infection. 83:341-343 |
ISSN: | 0195-6701 |
DOI: | 10.1016/j.jhin.2012.10.016 |
Popis: | An unusual multi-drug-resistant Pseudomonas aeruginosa (MDR-PA) was isolated in four patients whilst hospitalized in a French teaching hospital between May and August 2011. All four patients had undergone an oesophago-gastro-duodenoscopy with the same gastroscope over a five-month period. This endoscope was associated with a culture positive for the MDR-PA. Observations of endoscope reprocessing identified deviations from the agreed processes: insufficient initial cleaning, shortening of the immersion time and brushing time, insufficient channel flushing, and inadequate drying prior to storage. Since withdrawing the gastroscope and institution of strict adherence to the agreed processes, no other MDR-PA cases have been isolated. |
Databáze: | OpenAIRE |
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