Control of an outbreak of infection due to extended-spectrum β-lactamase-producing Escherichia coli in a liver transplantation unit

被引：67

作者：

Paterson, DL ^{[1
]}

Singh, N ^{[1
]}

Rihs, JD ^{[1
]}

Squier, C ^{[1
]}

Rihs, BL ^{[1
]}

Muder, RR ^{[1
]}

机构：

[1] VA Pittsburgh Healthcare Syst, Vet Affairs Med Ctr, Infect Dis Sect, Pittsburgh, PA 15240 USA

来源：

CLINICAL INFECTIOUS DISEASES | 2001年 / 33卷 / 01期

关键词：

D O I：

10.1086/320882

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We report an outbreak of infection due to genotypically identical extended-spectrum beta -lactamase-producing Escherichia coli among patients in a liver transplantation unit. Control of the outbreak was achieved by a combination of contact isolation, feedback on hand hygiene, and gut decontamination with an orally administered fluoroquinolone. These interventions led to abrupt curtailment of the outbreak.

引用

页码：126 / 128

页数：3

共 8 条

[1] Antimicrobial resistance amongst Klebsiella spp. collected from intensive care units in Southern and Western Europe in 1997-1998
Babini, GS
Livermore, DM
[J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2000, 45 (02) : 183 - 189
[2] ANALYSIS OF 3 VARIABLES IN SAMPLING SOLUTIONS USED TO ASSAY BACTERIA OF HANDS - TYPE OF SOLUTION, USE OF ANTISEPTIC NEUTRALIZERS, AND SOLUTION TEMPERATURE
LARSON, EL
STROM, MS
EVANS, CA
[J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1980, 12 (03) : 355 - 360
[3] Control of a prolonged outbreak of extended-spectrum β-lactamase-producing Enterobacteriaceae in a university hospital
Lucet, JC
Decré, D
Fichelle, A
Joly-Guillou, ML
Pernet, M
Deblangy, C
Kosmann, MJ
Régnier, B
[J]. CLINICAL INFECTIOUS DISEASES, 1999, 29 (06) : 1411 - 1418
[4] NOSOCOMIAL OUTBREAK OF KLEBSIELLA INFECTION RESISTANT TO LATE-GENERATION CEPHALOSPORINS
MEYER, KS
URBAN, C
EAGAN, JA
BERGER, BJ
RAHAL, JJ
[J]. ANNALS OF INTERNAL MEDICINE, 1993, 119 (05) : 353 - 358
[5] Epidemiology of ciprofloxacin resistance and its relationship to extended-spectrum β-lactamase production in Klebsiella pneumoniae isolates causing bacteremia
Paterson, DL
Mulazimoglu, L
Casellas, JM
Ko, WC
Goossens, H
Von Gottberg, A
Mohapatra, S
Trenholme, GM
Klugman, KP
McCormack, JG
Yu, VL
[J]. CLINICAL INFECTIOUS DISEASES, 2000, 30 (03) : 473 - 478
[6] Editorial response:: Extended-spectrum β-lactamases:: A call for improved detection and control
Paterson, DL
Yu, VL
[J]. CLINICAL INFECTIOUS DISEASES, 1999, 29 (06) : 1419 - 1422
[7] Glass restriction of cephalosporin use to control total cephalosporin resistance in nosocomial Klebsiella
Rahal, JJ
Urban, C
Horn, D
Freeman, K
Segal-Maurer, S
Maurer, J
Mariano, N
Marks, S
Burns, JM
Dominick, D
Lim, M
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (14): : 1233 - 1237
[8] Ceftazidime-resistant Klebsiella pneumoniae and Escherichia coli bloodstream infection: A case-control and molecular epidemiologic investigation
Schiappa, DA
Hayden, MK
Matushek, MG
Hashemi, FN
Sullivan, J
Smith, KY
Miyashiro, D
Quinn, JP
Weinstein, RA
Trenholme, GM
[J]. JOURNAL OF INFECTIOUS DISEASES, 1996, 174 (03) : 529 - 536

← 1 →