Faucets as a reservoir of endemic Pseudomonas aeruginosa colonization/infections in intensive care units

Détails

ID Serval
serval:BIB_A384ED6C8AFB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Faucets as a reservoir of endemic Pseudomonas aeruginosa colonization/infections in intensive care units
Périodique
Intensive Care Medicine
Auteur(s)
Blanc  D. S., Nahimana  I., Petignat  C., Wenger  A., Bille  J., Francioli  P.
ISSN
0342-4642
Statut éditorial
Publié
Date de publication
10/2004
Peer-reviewed
Oui
Volume
30
Numéro
10
Pages
1964-8
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Oct
Résumé
OBJECTIVE: To evaluate the role of faucets as a reservoir for Pseudomonas aeruginosa colonization/infection of patients hospitalized in intensive care units (ICUs). DESIGN: Prospective epidemiological investigation performed during a nonepidemic period of 1 year. The inner part of the ICU faucets were swabbed for P. aeruginosa. Data were recorded on all patients with at least one culture of a clinical specimens positive for P. aeruginosa. Pulsed-field gel electrophoresis was used to characterize the strains. SETTING: Five ICUs of a university hospital which are supplied by two separate water distribution networks. PATIENTS: During a 1-year period 132 cases were investigated. RESULTS: In 42% of cases (56/132) there were isolates identical to those found in the faucets, with a total of nine different genotypes. Among the nine genotypes isolated from both patients and faucets one of them, the most prevalent, was isolated in the two networks and in 30 cases. The other eight genotypes were recovered almost exclusively from either one (three genotypes in 12 cases) or the other (five genotypes in 12 cases) network and from the patients in the corresponding ICUs. CONCLUSIONS: These results suggest that the water system of the ICUs was the primary reservoir of patient's colonization/infection with P. aeruginosa in a substantial proportion of patients, although the exact mode of acquisition could not be determined.
Mots-clé
Colony Count, Microbial Cross Infection/*epidemiology/microbiology *Disease Reservoirs *Endemic Diseases Equipment Contamination Hospitals, University Humans *Intensive Care Units Pseudomonas Infections/*epidemiology/microbiology Pseudomonas aeruginosa/*isolation & purification Sanitary Engineering/instrumentation Switzerland/epidemiology *Water Microbiology
Pubmed
Web of science
Création de la notice
29/01/2008 16:20
Dernière modification de la notice
03/03/2018 20:11
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