期刊
ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA
卷 36, 期 4, 页码 214-217出版社
EDICIONES DOYMA S A
DOI: 10.1016/j.eimc.2017.01.008
关键词
Surveillance; Non-fermenting gram-negative bacilli; Tap aerator; Intensive care unit
Introduction: The under-utilisation of taps is associated with the generation of reservoirs of non fermenting gram-negative bacilli with the ability to disseminate. We describe the detection and approach of the problem in an ICU. Methods: Observational descriptive study in an ICU with individual cubicles with their own sink. We collected clinical samples from patients and environmental samples from tap aerators and reviewed the unit's hygiene measures. Results: We detected four cases due to Chryseobacterium indologenes, one to Elizabethkingia meningoseptica and another to Pseudomonas aeruginosa; they were identified both in clinical and the environmental samples. The healthcare professionals reported that almost every hand hygiene opportunity was performed with a hydroalcoholic solution. After considered the daily flushing of water outlets as inefficient, it was decided to remove them. Conclusions: National recommendations were insufficient for preventing, detecting and controlling tap contamination in units with a high risk of infection. The management of taps in these units needs to be improved. (C) 2017 Elsevier Espatia, S.L.U. and Sociedad Espaiiola de Enfermedades Infecciosas y Microbiologia Unica. All rights reserved.
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