Control measures for a VRE outbreak in a haemodialysis unit

被引：1
作者：
Diguio, N. [1 ]
Chanet, P. [2 ]
Hautemaniere, A. [1 ]
Cao-Huu, T. [2 ]
Hartemann, P. [1 ]
Kessler, M. [2 ]
机构：
[1] CHU Nancy, Hop Brabois Adultes, Serv Hyg Hosp, F-54511 Vandoeuvre Les Nancy, France
[2] CHU Nancy, Hop Brabois Adultes, Serv Nephrol Dialyse, F-54511 Vandoeuvre Les Nancy, France
来源：
NEPHROLOGIE & THERAPEUTIQUE | 2009年 / 5卷
关键词：
Cohorting; Outbreak; haemodialysis; VRE; VANCOMYCIN-RESISTANT ENTEROCOCCI; HEALTH-CARE WORKERS; STAPHYLOCOCCUS-AUREUS; ACTIVE SURVEILLANCE; COLONIZATION; INFECTION; PREVALENCE; IMPACT;
D O I：
10.1016/S1769-7255(09)74558-4
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
We report an outbreak of colonization with Vancomycin Resistant Enterococci (VRE) in the Haemodialysis unit of our hospital. From October 2004 to September 2008, 19 patients were found positive. The risk of acquiring this multi-resistant bacterium is extremely important in patients undergoing haemodialysis, heightened measures have gradually been set to control cross transmissions: first isolation, then geographic clustering of carriers and finally creating cohorting sectors with different staff for carriers, contacts and VRE free patients. This re-organization was supplemented by strengthening procedures for hand hygiene, active screening of patients and enhanced cleaning. Monitoring of the epidemic curve has allowed us to demonstrate the effectiveness of measures introduced. However, deleterious effects were observed in patients whose habits were changed; we could also highlight significant impact on the activity of the unit. (C) 2009 Elsevier Masson SAS et Association Societe de Nephrologie. All rights reserved.
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收藏
页码：S272 / S280
页数：9
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