Outbreak investigation of Pseudomonas aeruginosa infections in a neonatal intensive care unit
•Tap water use from contaminated hospital plumbing led to an outbreak of Pseudomonas aeruginosa infections.•Pseudomonas aeruginosa strains were found in patient, sink, and stored breast milk isolates.•Water-associated, health care–associated infections require a multidisciplinary approach. A Pseudom...
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| Veröffentlicht in: | American journal of infection control 2019-09, Vol.47 (9), p.1148-1150 |
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| container_title | American journal of infection control |
| container_volume | 47 |
| creator | Weng, Mark K. Brooks, Richard B. Glowicz, Janet Keckler, M. Shannon Christensen, Bryan E. Tsai, Victoria Mitchell, Clifford S. Wilson, Lucy E. Laxton, Ron Moulton-Meissner, Heather Fagan, Ryan |
| description | •Tap water use from contaminated hospital plumbing led to an outbreak of Pseudomonas aeruginosa infections.•Pseudomonas aeruginosa strains were found in patient, sink, and stored breast milk isolates.•Water-associated, health care–associated infections require a multidisciplinary approach.
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. |
| doi_str_mv | 10.1016/j.ajic.2019.03.009 |
| format | Article |
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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.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2019.03.009</identifier><identifier>PMID: 31047691</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cross Infection - epidemiology ; Cross Infection - mortality ; Disease Outbreaks ; Drinking Water - microbiology ; Female ; Gram-negative ; Health care–associated infections ; Humans ; Infant, Newborn ; Infection Control - methods ; Intensive Care Units, Neonatal ; Male ; Outbreak ; Pseudomonas aeruginosa - isolation & purification ; Pseudomonas Infections - epidemiology ; Pseudomonas Infections - mortality ; Water management</subject><ispartof>American journal of infection control, 2019-09, Vol.47 (9), p.1148-1150</ispartof><rights>2019</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-54174b89b855e33f37d650c75853fd66e3a44d9de974eb8d237ddb2f4bd11cd63</citedby><cites>FETCH-LOGICAL-c400t-54174b89b855e33f37d650c75853fd66e3a44d9de974eb8d237ddb2f4bd11cd63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajic.2019.03.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31047691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weng, Mark K.</creatorcontrib><creatorcontrib>Brooks, Richard B.</creatorcontrib><creatorcontrib>Glowicz, Janet</creatorcontrib><creatorcontrib>Keckler, M. Shannon</creatorcontrib><creatorcontrib>Christensen, Bryan E.</creatorcontrib><creatorcontrib>Tsai, Victoria</creatorcontrib><creatorcontrib>Mitchell, Clifford S.</creatorcontrib><creatorcontrib>Wilson, Lucy E.</creatorcontrib><creatorcontrib>Laxton, Ron</creatorcontrib><creatorcontrib>Moulton-Meissner, Heather</creatorcontrib><creatorcontrib>Fagan, Ryan</creatorcontrib><title>Outbreak investigation of Pseudomonas aeruginosa infections in a neonatal intensive care unit</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>•Tap water use from contaminated hospital plumbing led to an outbreak of Pseudomonas aeruginosa infections.•Pseudomonas aeruginosa strains were found in patient, sink, and stored breast milk isolates.•Water-associated, health care–associated infections require a multidisciplinary approach.
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.</description><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - mortality</subject><subject>Disease Outbreaks</subject><subject>Drinking Water - microbiology</subject><subject>Female</subject><subject>Gram-negative</subject><subject>Health care–associated infections</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infection Control - methods</subject><subject>Intensive Care Units, Neonatal</subject><subject>Male</subject><subject>Outbreak</subject><subject>Pseudomonas aeruginosa - isolation & purification</subject><subject>Pseudomonas Infections - epidemiology</subject><subject>Pseudomonas Infections - mortality</subject><subject>Water management</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAURYMozjj6B1xIl25a89GkDbgR8QsGxoUuJaTJ65DaacekHfDfmzKjS1cvj5xccg9ClwRnBBNx02S6cSajmMgMswxjeYTmhNMiZVSKYzSPFyIVnLMZOguhwZFggp-iGSM4L4Qkc_SxGofKg_5MXLeDMLi1HlzfJX2dvAYYbb_pOx0SDX5cu64POnI1mIkJ8ZjopINIDLqN2wBdcDtIjPaQjJ0bztFJrdsAF4e5QO-PD2_3z-ly9fRyf7dMTY7xkPKcFHlVyqrkHBirWWEFx6bgJWe1FQKYznMrLcgih6q0NAK2onVeWUKMFWyBrve5W99_jbGG2rhgoG11_N0YFKVUUiZJiSNK96jxfQgearX1bqP9tyJYTVpVoyatatKqMFOTtAW6OuSP1Qbs35NfjxG43QMQW-4ceBWMg86AdT7aUrZ3_-X_AJgLikc</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Weng, Mark K.</creator><creator>Brooks, Richard B.</creator><creator>Glowicz, Janet</creator><creator>Keckler, M. 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Shannon ; Christensen, Bryan E. ; Tsai, Victoria ; Mitchell, Clifford S. ; Wilson, Lucy E. ; Laxton, Ron ; Moulton-Meissner, Heather ; Fagan, Ryan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-54174b89b855e33f37d650c75853fd66e3a44d9de974eb8d237ddb2f4bd11cd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - mortality</topic><topic>Disease Outbreaks</topic><topic>Drinking Water - microbiology</topic><topic>Female</topic><topic>Gram-negative</topic><topic>Health care–associated infections</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infection Control - methods</topic><topic>Intensive Care Units, Neonatal</topic><topic>Male</topic><topic>Outbreak</topic><topic>Pseudomonas aeruginosa - isolation & purification</topic><topic>Pseudomonas Infections - epidemiology</topic><topic>Pseudomonas Infections - mortality</topic><topic>Water management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weng, Mark K.</creatorcontrib><creatorcontrib>Brooks, Richard B.</creatorcontrib><creatorcontrib>Glowicz, Janet</creatorcontrib><creatorcontrib>Keckler, M. Shannon</creatorcontrib><creatorcontrib>Christensen, Bryan E.</creatorcontrib><creatorcontrib>Tsai, Victoria</creatorcontrib><creatorcontrib>Mitchell, Clifford S.</creatorcontrib><creatorcontrib>Wilson, Lucy E.</creatorcontrib><creatorcontrib>Laxton, Ron</creatorcontrib><creatorcontrib>Moulton-Meissner, Heather</creatorcontrib><creatorcontrib>Fagan, Ryan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weng, Mark K.</au><au>Brooks, Richard B.</au><au>Glowicz, Janet</au><au>Keckler, M. Shannon</au><au>Christensen, Bryan E.</au><au>Tsai, Victoria</au><au>Mitchell, Clifford S.</au><au>Wilson, Lucy E.</au><au>Laxton, Ron</au><au>Moulton-Meissner, Heather</au><au>Fagan, Ryan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outbreak investigation of Pseudomonas aeruginosa infections in a neonatal intensive care unit</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2019-09</date><risdate>2019</risdate><volume>47</volume><issue>9</issue><spage>1148</spage><epage>1150</epage><pages>1148-1150</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>•Tap water use from contaminated hospital plumbing led to an outbreak of Pseudomonas aeruginosa infections.•Pseudomonas aeruginosa strains were found in patient, sink, and stored breast milk isolates.•Water-associated, health care–associated infections require a multidisciplinary approach.
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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31047691</pmid><doi>10.1016/j.ajic.2019.03.009</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Cross Infection - epidemiology Cross Infection - mortality Disease Outbreaks Drinking Water - microbiology Female Gram-negative Health care–associated infections Humans Infant, Newborn Infection Control - methods Intensive Care Units, Neonatal Male Outbreak Pseudomonas aeruginosa - isolation & purification Pseudomonas Infections - epidemiology Pseudomonas Infections - mortality Water management |
| title | Outbreak investigation of Pseudomonas aeruginosa infections in a neonatal intensive care unit |
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