Acynetobacter baumanii extremely resistant outbreak control in ICU: a multidisciplinary approach
نویسندگان
چکیده
Methods Observational analysis using ENVIN-HELICS database of all the infected and/or colonized patients in our ICU between January and May 2014 and to describe the multi-disciplinary measures performed for it ́s control: hygiene measures (strict hand hygiene, patients daily wash with special chlorhexidine gel, strict contact isolation), clustering measures (grouping all positive patients in ICU and hospitalization ward), general measures (high level structure cleaning, staff members training, adjusting nursing workload), optimize microbiological monitoring (fast culture and resistance maps processing), follow up during and after hospitalization, early empirical and directed antibiotic therapy.
منابع مشابه
Control of multidrug resistant (MDR) Acinetobacter baumanii outbreak in a pediatric oncology unit by optimizing infection prevention (IP) and control measures
Results In the study period, 4 patients had tracheal aspirate (TA) positive for MDR A.baumanii (all on mechanical ventilation), one patient had positive catheter tip and blood cultures. The attack rate was 12,8% and the ventilator associated pneumonia rate rose from 20,30 to 34,96 per 1000 ventilator days. The first three cases occurred from September 13 to 20 all of them in TA. Contact precaut...
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