Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors
Pseudomonas aeruginosa is an important and frightening microorganism for patients suffering from cancer. Multiresistant P. aeruginosa (MRPA) may appear as a consequence of exposure to multiple antibiotics or from a breakdown in infection control practices. This article reports an MRPA outbreak in a...
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doaj-07cfb98c44284fb5bc73a62fdf4de68c2020-11-25T03:59:12ZengElsevierBrazilian Journal of Infectious Diseases1678-43911329910310.1590/S1413-86702009000200005S1413-86702009000200005Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factorsJorge Alberto Cortes0Sonia Isabel Cuervo1Ana María Urdaneta2Guillermo Potdevin3Patricia Arroyo4Diana Bermúdez5Adriana Correa6María Virginia Villegas7Universidad Nacional de ColombiaUniversidad Nacional de ColombiaUniversidad de La SabanaUniversidad de La SabanaInstituto Nacional de CancerologíaInstituto Nacional de CancerologíaCentro Internacional de Investigaciones MédicasCentro Internacional de Investigaciones MédicasPseudomonas aeruginosa is an important and frightening microorganism for patients suffering from cancer. Multiresistant P. aeruginosa (MRPA) may appear as a consequence of exposure to multiple antibiotics or from a breakdown in infection control practices. This article reports an MRPA outbreak in a cancer treatment centre and the consequent case control study. Mechanical ventilation was identified as being the main risk factor for developing MRPA colonisation or infection; molecular analysis confirmed the outbreak. A multifaceted strategy was adopted, involving reinforcing hand-washing practices, contact isolation, antibiotic restriction and suction devices for mechanically-ventilated patients. MRPA was controlled and the outbreak ended. Such strategy may be effective in controlling MRPS in low-resource environments amongst high risk cancer patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702009000200005&lng=en&tlng=enPseudomonas aeruginosaepidemiologymultiple drug resistancebacteriarisk factor |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jorge Alberto Cortes Sonia Isabel Cuervo Ana María Urdaneta Guillermo Potdevin Patricia Arroyo Diana Bermúdez Adriana Correa María Virginia Villegas |
spellingShingle |
Jorge Alberto Cortes Sonia Isabel Cuervo Ana María Urdaneta Guillermo Potdevin Patricia Arroyo Diana Bermúdez Adriana Correa María Virginia Villegas Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors Brazilian Journal of Infectious Diseases Pseudomonas aeruginosa epidemiology multiple drug resistance bacteria risk factor |
author_facet |
Jorge Alberto Cortes Sonia Isabel Cuervo Ana María Urdaneta Guillermo Potdevin Patricia Arroyo Diana Bermúdez Adriana Correa María Virginia Villegas |
author_sort |
Jorge Alberto Cortes |
title |
Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors |
title_short |
Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors |
title_full |
Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors |
title_fullStr |
Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors |
title_full_unstemmed |
Identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors |
title_sort |
identifying and controlling a multiresistant pseudomonas aeruginosa outbreak in a latin-american cancer centre and its associated risk factors |
publisher |
Elsevier |
series |
Brazilian Journal of Infectious Diseases |
issn |
1678-4391 |
description |
Pseudomonas aeruginosa is an important and frightening microorganism for patients suffering from cancer. Multiresistant P. aeruginosa (MRPA) may appear as a consequence of exposure to multiple antibiotics or from a breakdown in infection control practices. This article reports an MRPA outbreak in a cancer treatment centre and the consequent case control study. Mechanical ventilation was identified as being the main risk factor for developing MRPA colonisation or infection; molecular analysis confirmed the outbreak. A multifaceted strategy was adopted, involving reinforcing hand-washing practices, contact isolation, antibiotic restriction and suction devices for mechanically-ventilated patients. MRPA was controlled and the outbreak ended. Such strategy may be effective in controlling MRPS in low-resource environments amongst high risk cancer patients. |
topic |
Pseudomonas aeruginosa epidemiology multiple drug resistance bacteria risk factor |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702009000200005&lng=en&tlng=en |
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