Gastroscopy-associated transmission of extended-spectrum beta-lactamase-producing Pseudomonas aeruginosa

被引：72
作者：
Bajolet, O. [1 ,4 ]
Ciocan, D. [1 ]
Vallet, C. [1 ]
de Champs, C. [2 ,4 ]
Vernet-Garnier, V. [2 ,4 ]
Guillard, T. [2 ,4 ]
Brasme, L. [2 ]
Thiefin, G. [3 ,4 ]
Cadiot, G. [3 ,4 ]
Bureau-Chalot, F. [1 ]
机构：
[1] CHU Reims, Equipe Operat Hyg, F-51092 Reims, France
[2] CHU Reims, Lab Bacteriol Virol Hyg, F-51092 Reims, France
[3] CHU Reims, Serv Hepatogastroenterol & Cancerol Digest, F-51092 Reims, France
[4] CHU Reims, UFR Med, F-51092 Reims, France
来源：
JOURNAL OF HOSPITAL INFECTION | 2013年 / 83卷 / 04期
关键词：
Pseudomonas aeruginosa; Cross-infection; Gastrointestinal endoscopy; ENDOSCOPY;
D O I：
10.1016/j.jhin.2012.10.016
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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. (C) 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：341 / 343
页数：3
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