tailieunhanh - Báo cáo khoa học: " A Multiresistant Enterobacter cloacae outbreak in an intensive care unit associated with therapeutic bed"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A Multiresistant Enterobacter cloacae outbreak in an intensive care unit associated with therapeutic beds. | Available online http content 10 1 405 Letter Multiresistant Enterobacter cloacae outbreak in an intensive care unit associated with therapeutic beds Nathalie van der Mee-Marquet1 Sophie Girard1 Franqois Lagarrigue2 Isabelle Leroux2 Isabelle Voyer1 Daniel Bloc1 Jean-Marc Besnier3 and Roland Quentin1 Service de Bactériologie et Hygiène CHRU Tours France 2Service de Réanimation Chirurgicale CHRU Tours France 3Comité de Lutte contre les Infections Nosocomiales CHRU Tours France Corresponding author Nathalie van der Mee-Marquet Published 13 February 2006 This article is online at http content 10 1 405 2006 BioMed Central Ltd Critical Care 2006 10 405 doi cc4835 Abstract We report a multiresistant Enterobacter cloacae outbreak in an intensive care unit associated with mattresses and with antibacterial-treated and vapour-permeable polyurethane synthetic mattress covers of therapeutic beds. An increased risk of infection and pressure sores is associated with contaminated mattresses 1-6 . This is mostly due to disruption of the integrity of the mattress cover surface 7 . Antibacterial-treated and vapour-permeable polyurethane synthetic mattress covers have been developed to reduce bacterial and fungal colonisation of mattresses. These are currently widely used on therapeutic beds. These covers are considered easy to clean and to disinfect. We report an outbreak associated with recently developed therapeutic beds in an intensive care unit in which there appeared to be satisfactory nursing procedures and in which the mattress covers appeared to be visually intact. Our observations allow us to propose additional measures to the recommended maintenance procedure to avoid this type of hospital infection. Between 1 February and 30 May 2005 a cluster of 15 patients infected colonised 12 infected and three colonised by a third-generation cephalosporin-resistant Enterobacter cloacae was observed in the surgery intensive care