Journal
AMERICAN JOURNAL OF INFECTION CONTROL
Volume 47, Issue 9, Pages 1148-1150Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.ajic.2019.03.009
Keywords
Gram-negative; Water management; Health care-associated infections; Outbreak
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A Pseudomonas aeruginosa outbreak was investigated in a neonatal intensive care unit that had experienced a prior similar outbreak. The 8 cases identified included 2 deaths. An investigation found the cause of the outbreak: tap water from contaminated hospital plumbing which was used for humidifier reservoirs, neonatal bathing, and nutritional preparation. Our findings reinforce a recent Centers for Medicare & Medicaid Services memo recommending increased attention to water management to improve awareness, identification, mitigation, and prevention of water-associated, health care-associated infections. Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.
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