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
Rok vydání: 2013
Předmět:
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