Épidémie à pseudomonas æruginosa dans un ctb: Évaluation et éradication

Translated title of the contribution: Extensively drug-resistant pseudomonas aerug-inosa outbreak in a burn unit: Management and solutions

J. Aguilera-Sáez*, V. Andreu-Solà, N. Larrosa Escartín, V. Rodríguez Garrido, L. Armadans Gil, J. M. Sánchez García, M. Campins, J. Baena Caparrós, J. P. Barret

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

18 Citations (Scopus)

Abstract

Infections are still the main cause of mortality in burn patients. Multidrug resistant bacteria can cause outbreaks in critical care and burn units. We describe an outbreak of infection by extensively drug-resistant Pseudomonas aeruginosa in the Burn Unit of a University Hospital in Barcelona (Spain) between April and July 2016. A descriptive study of all cases, a bacterial colonization screening of all admitted patients and a microbiological environmental study were performed in order to detect a possible common focus. Contact isolation and cohortization of healthcare workers of all infected or colonized patients were applied. Environmental control measures were instituted for possible sources of infection. The outbreak was caused by a strain of P. aeruginosa only sensitive to colistin. Ten patients were infected or colonized and two of them died. The same strain was detected in several taps and drains in different rooms of the Unit. After applying control measures, changing faucets and drains, carrying out thermal disinfection of the hot water installation of the unit, disinfecting the rooms with ultraviolet radiation and placing antibacterial filtration devices in all the taps among other measures, an effective control of the outbreak was achieved.

Translated title of the contributionExtensively drug-resistant pseudomonas aerug-inosa outbreak in a burn unit: Management and solutions
Original languageFrench
Pages (from-to)47-55
Number of pages9
JournalAnnals of Burns and Fire Disasters
Volume32
Issue number1
Publication statusPublished - Mar 2019

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