A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit
The aim was to assess the incidence of sink contamination by multidrug-resistant (MDR) Pseudomonas aeruginosa and Enterobacteriaceae, risk factors for sink contamination and splashing, and their association with clinical infections in the intensive care setting. A prospective French multicentre stud...
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| Veröffentlicht in: | Clinical microbiology and infection 2021-09, Vol.27 (9), p.1347.e9-1347.e14 |
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| creator | Valentin, Anne-Sophie Decalonne, Marie Mereghetti, Laurent Daniau, Côme van der Mee-Marquet, Nathalie Aloe, L. Aurel, C. Bonjean, S. Bounoua, M. Bourigault, C. Chanay, O. Curnier, V. Dalmas, H. Degallaix, D. Del Guidice, F. Fribourg, A. Genillon, J.P. Glanard, A. Gouin, C. Gourmelen, F. Ionescu, P. Joron, S. Joseph, E. Laurent, B. Le Coq, M. Lecuru, M. Lehiani, O. Lepainteur, M. Lesteven, C. Magneney, M. Mahamat, A. Negrin, N. Pospisil, F. Sevin, T. Valdes, A. Vidal-Hollaender, B. Veyres, P. Aussant, P. Badetti, C. Berthon, M. Brunel, E. Burel, C. Cerf, C. Combaux, D. Da Silva, D. Damoisel, C. De Rudnicki, S. Debost, J. Dieye, E. Ferreira, L. Fillatre, P. Galin, X. Georges, H. Godde, F. Hira, M. Hoff, J. Illinger, J. Lambiotte, F. M'fam, W. Mariot, J. Martinet, O. Michaux, P. Montini, F. Muller, L. Pommier, C. Roger, C. Samat, C. Siami, S. Simonoviez, P.Y. Toledano, D. Travert, B. Trouillet, G. Arsene, S. Bachelier, M.N. Belmonte, O. Bensaid, T. Bertei, D. Bizet, J. Bonfils, F. Bonnet, R. Brisou, P. Chaplain, C. Dupin, C. Farrugia, C. Fougnot, S. Guerin, M. Guillet-Caruba, C. Heusse, E. Heym, B. Jacquemin, P. Lacomme, M.P. Lance, F. Lanselle, C. Lechat, S. Leotard, S. Luizy, N. Mignot, L. Poussing, S. Sanchez, R. Seraphin, H. |
| description | The aim was to assess the incidence of sink contamination by multidrug-resistant (MDR) Pseudomonas aeruginosa and Enterobacteriaceae, risk factors for sink contamination and splashing, and their association with clinical infections in the intensive care setting.
A prospective French multicentre study (1 January to 30 May 2020) including in each intensive care unit (ICU) a point-prevalence study of sink contamination, a questionnaire of risk factors for sink contamination (sink use, disinfection procedure) and splashing (visible plashes, distance and barrier between sink and bed), and a 3-month prospective infection survey.
Seventy-three ICUs participated in the study. In total, 50.9% (606/1191) of the sinks were contaminated by MDR bacteria: 41.0% (110/268) of the sinks used only for handwashing, 55.3% (510/923) of those used for waste disposal, 23.0% (62/269) of sinks daily bleached, 59.1% (126/213) of those daily exposed to quaternary ammonium compounds (QACs) and 62.0% (285/460) of those untreated; 459 sinks (38.5%) showed visible splashes and 30.5% (363/1191) were close to the bed ( |
| doi_str_mv | 10.1016/j.cmi.2021.02.018 |
| format | Article |
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A prospective French multicentre study (1 January to 30 May 2020) including in each intensive care unit (ICU) a point-prevalence study of sink contamination, a questionnaire of risk factors for sink contamination (sink use, disinfection procedure) and splashing (visible plashes, distance and barrier between sink and bed), and a 3-month prospective infection survey.
Seventy-three ICUs participated in the study. In total, 50.9% (606/1191) of the sinks were contaminated by MDR bacteria: 41.0% (110/268) of the sinks used only for handwashing, 55.3% (510/923) of those used for waste disposal, 23.0% (62/269) of sinks daily bleached, 59.1% (126/213) of those daily exposed to quaternary ammonium compounds (QACs) and 62.0% (285/460) of those untreated; 459 sinks (38.5%) showed visible splashes and 30.5% (363/1191) were close to the bed (<2 m) with no barrier around the sink. MDR-associated bloodstream infection incidence rates ≥0.70/1000 patient days were associated with ICUs meeting three or four of these conditions, i.e. a sink contamination rate ≥51%, prevalence of sinks with visible splashes ≥14%, prevalence of sinks close to the patient's bed ≥21% and no daily bleach disinfection (6/30 (20.0%) of the ICUs with none, one or two factors vs. 14/28 (50.0%) of the ICUs with three or four factors; p 0.016).
Our data showed frequent and multifactorial infectious risks associated with contaminated sinks in ICUs.</description><identifier>ISSN: 1198-743X</identifier><identifier>EISSN: 1469-0691</identifier><identifier>DOI: 10.1016/j.cmi.2021.02.018</identifier><identifier>PMID: 33640576</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Bloodstream infection ; Cross Infection - epidemiology ; Drug Resistance, Multiple, Bacterial ; Enterobacteriaceae ; Equipment Contamination ; Humans ; Intensive care ; Intensive Care Units ; Prospective Studies ; Pseudomonas aeruginosa ; Risk Factors ; Sink ; Ventilator-associated pneumonia ; Water Supply</subject><ispartof>Clinical microbiology and infection, 2021-09, Vol.27 (9), p.1347.e9-1347.e14</ispartof><rights>2021 The Author(s)</rights><rights>Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-ee7ae4bf80f86c63cb836b2a98b65dea124c9fab5ca36e66913a27b6f4faade23</citedby><cites>FETCH-LOGICAL-c396t-ee7ae4bf80f86c63cb836b2a98b65dea124c9fab5ca36e66913a27b6f4faade23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33640576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valentin, Anne-Sophie</creatorcontrib><creatorcontrib>Decalonne, Marie</creatorcontrib><creatorcontrib>Mereghetti, Laurent</creatorcontrib><creatorcontrib>Daniau, Côme</creatorcontrib><creatorcontrib>van der Mee-Marquet, Nathalie</creatorcontrib><creatorcontrib>Aloe, L.</creatorcontrib><creatorcontrib>Aurel, C.</creatorcontrib><creatorcontrib>Bonjean, S.</creatorcontrib><creatorcontrib>Bounoua, M.</creatorcontrib><creatorcontrib>Bourigault, C.</creatorcontrib><creatorcontrib>Chanay, O.</creatorcontrib><creatorcontrib>Curnier, V.</creatorcontrib><creatorcontrib>Dalmas, H.</creatorcontrib><creatorcontrib>Degallaix, D.</creatorcontrib><creatorcontrib>Del Guidice, F.</creatorcontrib><creatorcontrib>Fribourg, A.</creatorcontrib><creatorcontrib>Genillon, J.P.</creatorcontrib><creatorcontrib>Glanard, A.</creatorcontrib><creatorcontrib>Gouin, C.</creatorcontrib><creatorcontrib>Gourmelen, F.</creatorcontrib><creatorcontrib>Ionescu, P.</creatorcontrib><creatorcontrib>Joron, S.</creatorcontrib><creatorcontrib>Joseph, E.</creatorcontrib><creatorcontrib>Laurent, B.</creatorcontrib><creatorcontrib>Le Coq, M.</creatorcontrib><creatorcontrib>Lecuru, M.</creatorcontrib><creatorcontrib>Lehiani, O.</creatorcontrib><creatorcontrib>Lepainteur, M.</creatorcontrib><creatorcontrib>Lesteven, C.</creatorcontrib><creatorcontrib>Magneney, M.</creatorcontrib><creatorcontrib>Mahamat, A.</creatorcontrib><creatorcontrib>Negrin, N.</creatorcontrib><creatorcontrib>Pospisil, F.</creatorcontrib><creatorcontrib>Sevin, T.</creatorcontrib><creatorcontrib>Valdes, A.</creatorcontrib><creatorcontrib>Vidal-Hollaender, B.</creatorcontrib><creatorcontrib>Veyres, P.</creatorcontrib><creatorcontrib>Aussant, P.</creatorcontrib><creatorcontrib>Badetti, C.</creatorcontrib><creatorcontrib>Berthon, M.</creatorcontrib><creatorcontrib>Brunel, E.</creatorcontrib><creatorcontrib>Burel, C.</creatorcontrib><creatorcontrib>Cerf, C.</creatorcontrib><creatorcontrib>Combaux, D.</creatorcontrib><creatorcontrib>Da Silva, D.</creatorcontrib><creatorcontrib>Damoisel, C.</creatorcontrib><creatorcontrib>De Rudnicki, S.</creatorcontrib><creatorcontrib>Debost, J.</creatorcontrib><creatorcontrib>Dieye, E.</creatorcontrib><creatorcontrib>Ferreira, L.</creatorcontrib><creatorcontrib>Fillatre, P.</creatorcontrib><creatorcontrib>Galin, X.</creatorcontrib><creatorcontrib>Georges, H.</creatorcontrib><creatorcontrib>Godde, F.</creatorcontrib><creatorcontrib>Hira, M.</creatorcontrib><creatorcontrib>Hoff, J.</creatorcontrib><creatorcontrib>Illinger, J.</creatorcontrib><creatorcontrib>Lambiotte, F.</creatorcontrib><creatorcontrib>M'fam, W.</creatorcontrib><creatorcontrib>Mariot, J.</creatorcontrib><creatorcontrib>Martinet, O.</creatorcontrib><creatorcontrib>Michaux, P.</creatorcontrib><creatorcontrib>Montini, F.</creatorcontrib><creatorcontrib>Muller, L.</creatorcontrib><creatorcontrib>Pommier, C.</creatorcontrib><creatorcontrib>Roger, C.</creatorcontrib><creatorcontrib>Samat, C.</creatorcontrib><creatorcontrib>Siami, S.</creatorcontrib><creatorcontrib>Simonoviez, P.Y.</creatorcontrib><creatorcontrib>Toledano, D.</creatorcontrib><creatorcontrib>Travert, B.</creatorcontrib><creatorcontrib>Trouillet, G.</creatorcontrib><creatorcontrib>Arsene, S.</creatorcontrib><creatorcontrib>Bachelier, M.N.</creatorcontrib><creatorcontrib>Belmonte, O.</creatorcontrib><creatorcontrib>Bensaid, T.</creatorcontrib><creatorcontrib>Bertei, D.</creatorcontrib><creatorcontrib>Bizet, J.</creatorcontrib><creatorcontrib>Bonfils, F.</creatorcontrib><creatorcontrib>Bonnet, R.</creatorcontrib><creatorcontrib>Brisou, P.</creatorcontrib><creatorcontrib>Chaplain, C.</creatorcontrib><creatorcontrib>Dupin, C.</creatorcontrib><creatorcontrib>Farrugia, C.</creatorcontrib><creatorcontrib>Fougnot, S.</creatorcontrib><creatorcontrib>Guerin, M.</creatorcontrib><creatorcontrib>Guillet-Caruba, C.</creatorcontrib><creatorcontrib>Heusse, E.</creatorcontrib><creatorcontrib>Heym, B.</creatorcontrib><creatorcontrib>Jacquemin, P.</creatorcontrib><creatorcontrib>Lacomme, M.P.</creatorcontrib><creatorcontrib>Lance, F.</creatorcontrib><creatorcontrib>Lanselle, C.</creatorcontrib><creatorcontrib>Lechat, S.</creatorcontrib><creatorcontrib>Leotard, S.</creatorcontrib><creatorcontrib>Luizy, N.</creatorcontrib><creatorcontrib>Mignot, L.</creatorcontrib><creatorcontrib>Poussing, S.</creatorcontrib><creatorcontrib>Sanchez, R.</creatorcontrib><creatorcontrib>Seraphin, H.</creatorcontrib><creatorcontrib>the SPIADI ICU group</creatorcontrib><creatorcontrib>SPIADI ICU group</creatorcontrib><title>A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit</title><title>Clinical microbiology and infection</title><addtitle>Clin Microbiol Infect</addtitle><description>The aim was to assess the incidence of sink contamination by multidrug-resistant (MDR) Pseudomonas aeruginosa and Enterobacteriaceae, risk factors for sink contamination and splashing, and their association with clinical infections in the intensive care setting.
A prospective French multicentre study (1 January to 30 May 2020) including in each intensive care unit (ICU) a point-prevalence study of sink contamination, a questionnaire of risk factors for sink contamination (sink use, disinfection procedure) and splashing (visible plashes, distance and barrier between sink and bed), and a 3-month prospective infection survey.
Seventy-three ICUs participated in the study. In total, 50.9% (606/1191) of the sinks were contaminated by MDR bacteria: 41.0% (110/268) of the sinks used only for handwashing, 55.3% (510/923) of those used for waste disposal, 23.0% (62/269) of sinks daily bleached, 59.1% (126/213) of those daily exposed to quaternary ammonium compounds (QACs) and 62.0% (285/460) of those untreated; 459 sinks (38.5%) showed visible splashes and 30.5% (363/1191) were close to the bed (<2 m) with no barrier around the sink. MDR-associated bloodstream infection incidence rates ≥0.70/1000 patient days were associated with ICUs meeting three or four of these conditions, i.e. a sink contamination rate ≥51%, prevalence of sinks with visible splashes ≥14%, prevalence of sinks close to the patient's bed ≥21% and no daily bleach disinfection (6/30 (20.0%) of the ICUs with none, one or two factors vs. 14/28 (50.0%) of the ICUs with three or four factors; p 0.016).
Our data showed frequent and multifactorial infectious risks associated with contaminated sinks in ICUs.</description><subject>Bloodstream infection</subject><subject>Cross Infection - epidemiology</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>Enterobacteriaceae</subject><subject>Equipment Contamination</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Prospective Studies</subject><subject>Pseudomonas aeruginosa</subject><subject>Risk Factors</subject><subject>Sink</subject><subject>Ventilator-associated pneumonia</subject><subject>Water 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Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202109</creationdate><title>A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit</title><author>Valentin, Anne-Sophie ; Decalonne, Marie ; Mereghetti, Laurent ; Daniau, Côme ; van der Mee-Marquet, Nathalie ; Aloe, L. ; Aurel, C. ; Bonjean, S. ; Bounoua, M. ; Bourigault, C. ; Chanay, O. ; Curnier, V. ; Dalmas, H. ; Degallaix, D. ; Del Guidice, F. ; Fribourg, A. ; Genillon, J.P. ; Glanard, A. ; Gouin, C. ; Gourmelen, F. ; Ionescu, P. ; Joron, S. ; Joseph, E. ; Laurent, B. ; Le Coq, M. ; Lecuru, M. ; Lehiani, O. ; Lepainteur, M. ; Lesteven, C. ; Magneney, M. ; Mahamat, A. ; Negrin, N. ; Pospisil, F. ; Sevin, T. ; Valdes, A. ; Vidal-Hollaender, B. ; Veyres, P. ; Aussant, P. ; Badetti, C. ; Berthon, M. ; Brunel, E. ; Burel, C. ; Cerf, C. ; Combaux, D. ; Da Silva, D. ; Damoisel, C. ; De Rudnicki, S. ; Debost, J. ; Dieye, E. ; Ferreira, L. ; Fillatre, P. ; Galin, X. ; Georges, H. ; Godde, F. ; Hira, M. ; Hoff, J. ; Illinger, J. ; Lambiotte, F. ; M'fam, W. ; Mariot, J. ; Martinet, O. ; Michaux, P. ; Montini, F. ; Muller, L. ; Pommier, C. ; Roger, C. ; Samat, C. ; Siami, S. ; Simonoviez, P.Y. ; Toledano, D. ; Travert, B. ; Trouillet, G. ; Arsene, S. ; Bachelier, M.N. ; Belmonte, O. ; Bensaid, T. ; Bertei, D. ; Bizet, J. ; Bonfils, F. ; Bonnet, R. ; Brisou, P. ; Chaplain, C. ; Dupin, C. ; Farrugia, C. ; Fougnot, S. ; Guerin, M. ; Guillet-Caruba, C. ; Heusse, E. ; Heym, B. ; Jacquemin, P. ; Lacomme, M.P. ; Lance, F. ; Lanselle, C. ; Lechat, S. ; Leotard, S. ; Luizy, N. ; Mignot, L. ; Poussing, S. ; Sanchez, R. ; Seraphin, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-ee7ae4bf80f86c63cb836b2a98b65dea124c9fab5ca36e66913a27b6f4faade23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bloodstream infection</topic><topic>Cross Infection - epidemiology</topic><topic>Drug Resistance, Multiple, Bacterial</topic><topic>Enterobacteriaceae</topic><topic>Equipment Contamination</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Prospective Studies</topic><topic>Pseudomonas aeruginosa</topic><topic>Risk Factors</topic><topic>Sink</topic><topic>Ventilator-associated pneumonia</topic><topic>Water Supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valentin, Anne-Sophie</creatorcontrib><creatorcontrib>Decalonne, Marie</creatorcontrib><creatorcontrib>Mereghetti, Laurent</creatorcontrib><creatorcontrib>Daniau, Côme</creatorcontrib><creatorcontrib>van der Mee-Marquet, Nathalie</creatorcontrib><creatorcontrib>Aloe, L.</creatorcontrib><creatorcontrib>Aurel, C.</creatorcontrib><creatorcontrib>Bonjean, S.</creatorcontrib><creatorcontrib>Bounoua, M.</creatorcontrib><creatorcontrib>Bourigault, C.</creatorcontrib><creatorcontrib>Chanay, O.</creatorcontrib><creatorcontrib>Curnier, V.</creatorcontrib><creatorcontrib>Dalmas, H.</creatorcontrib><creatorcontrib>Degallaix, D.</creatorcontrib><creatorcontrib>Del Guidice, F.</creatorcontrib><creatorcontrib>Fribourg, A.</creatorcontrib><creatorcontrib>Genillon, J.P.</creatorcontrib><creatorcontrib>Glanard, A.</creatorcontrib><creatorcontrib>Gouin, C.</creatorcontrib><creatorcontrib>Gourmelen, F.</creatorcontrib><creatorcontrib>Ionescu, P.</creatorcontrib><creatorcontrib>Joron, S.</creatorcontrib><creatorcontrib>Joseph, E.</creatorcontrib><creatorcontrib>Laurent, B.</creatorcontrib><creatorcontrib>Le Coq, M.</creatorcontrib><creatorcontrib>Lecuru, M.</creatorcontrib><creatorcontrib>Lehiani, O.</creatorcontrib><creatorcontrib>Lepainteur, M.</creatorcontrib><creatorcontrib>Lesteven, C.</creatorcontrib><creatorcontrib>Magneney, M.</creatorcontrib><creatorcontrib>Mahamat, A.</creatorcontrib><creatorcontrib>Negrin, N.</creatorcontrib><creatorcontrib>Pospisil, F.</creatorcontrib><creatorcontrib>Sevin, T.</creatorcontrib><creatorcontrib>Valdes, A.</creatorcontrib><creatorcontrib>Vidal-Hollaender, B.</creatorcontrib><creatorcontrib>Veyres, P.</creatorcontrib><creatorcontrib>Aussant, P.</creatorcontrib><creatorcontrib>Badetti, C.</creatorcontrib><creatorcontrib>Berthon, M.</creatorcontrib><creatorcontrib>Brunel, E.</creatorcontrib><creatorcontrib>Burel, C.</creatorcontrib><creatorcontrib>Cerf, C.</creatorcontrib><creatorcontrib>Combaux, D.</creatorcontrib><creatorcontrib>Da Silva, D.</creatorcontrib><creatorcontrib>Damoisel, C.</creatorcontrib><creatorcontrib>De Rudnicki, 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D.</creatorcontrib><creatorcontrib>Travert, B.</creatorcontrib><creatorcontrib>Trouillet, G.</creatorcontrib><creatorcontrib>Arsene, S.</creatorcontrib><creatorcontrib>Bachelier, M.N.</creatorcontrib><creatorcontrib>Belmonte, O.</creatorcontrib><creatorcontrib>Bensaid, T.</creatorcontrib><creatorcontrib>Bertei, D.</creatorcontrib><creatorcontrib>Bizet, J.</creatorcontrib><creatorcontrib>Bonfils, F.</creatorcontrib><creatorcontrib>Bonnet, R.</creatorcontrib><creatorcontrib>Brisou, P.</creatorcontrib><creatorcontrib>Chaplain, C.</creatorcontrib><creatorcontrib>Dupin, C.</creatorcontrib><creatorcontrib>Farrugia, C.</creatorcontrib><creatorcontrib>Fougnot, S.</creatorcontrib><creatorcontrib>Guerin, M.</creatorcontrib><creatorcontrib>Guillet-Caruba, C.</creatorcontrib><creatorcontrib>Heusse, E.</creatorcontrib><creatorcontrib>Heym, B.</creatorcontrib><creatorcontrib>Jacquemin, P.</creatorcontrib><creatorcontrib>Lacomme, M.P.</creatorcontrib><creatorcontrib>Lance, F.</creatorcontrib><creatorcontrib>Lanselle, C.</creatorcontrib><creatorcontrib>Lechat, S.</creatorcontrib><creatorcontrib>Leotard, S.</creatorcontrib><creatorcontrib>Luizy, N.</creatorcontrib><creatorcontrib>Mignot, L.</creatorcontrib><creatorcontrib>Poussing, S.</creatorcontrib><creatorcontrib>Sanchez, R.</creatorcontrib><creatorcontrib>Seraphin, H.</creatorcontrib><creatorcontrib>the SPIADI ICU group</creatorcontrib><creatorcontrib>SPIADI ICU group</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>Clinical microbiology and infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valentin, Anne-Sophie</au><au>Decalonne, Marie</au><au>Mereghetti, Laurent</au><au>Daniau, Côme</au><au>van der Mee-Marquet, Nathalie</au><au>Aloe, L.</au><au>Aurel, C.</au><au>Bonjean, S.</au><au>Bounoua, M.</au><au>Bourigault, C.</au><au>Chanay, O.</au><au>Curnier, V.</au><au>Dalmas, H.</au><au>Degallaix, D.</au><au>Del Guidice, F.</au><au>Fribourg, A.</au><au>Genillon, J.P.</au><au>Glanard, A.</au><au>Gouin, C.</au><au>Gourmelen, F.</au><au>Ionescu, P.</au><au>Joron, S.</au><au>Joseph, E.</au><au>Laurent, B.</au><au>Le Coq, M.</au><au>Lecuru, M.</au><au>Lehiani, O.</au><au>Lepainteur, M.</au><au>Lesteven, C.</au><au>Magneney, M.</au><au>Mahamat, A.</au><au>Negrin, N.</au><au>Pospisil, F.</au><au>Sevin, T.</au><au>Valdes, A.</au><au>Vidal-Hollaender, B.</au><au>Veyres, P.</au><au>Aussant, P.</au><au>Badetti, C.</au><au>Berthon, M.</au><au>Brunel, E.</au><au>Burel, C.</au><au>Cerf, C.</au><au>Combaux, D.</au><au>Da Silva, D.</au><au>Damoisel, C.</au><au>De Rudnicki, S.</au><au>Debost, J.</au><au>Dieye, E.</au><au>Ferreira, L.</au><au>Fillatre, P.</au><au>Galin, X.</au><au>Georges, H.</au><au>Godde, F.</au><au>Hira, M.</au><au>Hoff, J.</au><au>Illinger, J.</au><au>Lambiotte, F.</au><au>M'fam, W.</au><au>Mariot, J.</au><au>Martinet, O.</au><au>Michaux, P.</au><au>Montini, F.</au><au>Muller, L.</au><au>Pommier, C.</au><au>Roger, C.</au><au>Samat, C.</au><au>Siami, S.</au><au>Simonoviez, P.Y.</au><au>Toledano, D.</au><au>Travert, B.</au><au>Trouillet, G.</au><au>Arsene, S.</au><au>Bachelier, M.N.</au><au>Belmonte, O.</au><au>Bensaid, T.</au><au>Bertei, D.</au><au>Bizet, J.</au><au>Bonfils, F.</au><au>Bonnet, R.</au><au>Brisou, P.</au><au>Chaplain, C.</au><au>Dupin, C.</au><au>Farrugia, C.</au><au>Fougnot, S.</au><au>Guerin, M.</au><au>Guillet-Caruba, C.</au><au>Heusse, E.</au><au>Heym, B.</au><au>Jacquemin, P.</au><au>Lacomme, M.P.</au><au>Lance, F.</au><au>Lanselle, C.</au><au>Lechat, S.</au><au>Leotard, S.</au><au>Luizy, N.</au><au>Mignot, L.</au><au>Poussing, S.</au><au>Sanchez, R.</au><au>Seraphin, H.</au><aucorp>the SPIADI ICU group</aucorp><aucorp>SPIADI ICU group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit</atitle><jtitle>Clinical microbiology and infection</jtitle><addtitle>Clin Microbiol Infect</addtitle><date>2021-09</date><risdate>2021</risdate><volume>27</volume><issue>9</issue><spage>1347.e9</spage><epage>1347.e14</epage><pages>1347.e9-1347.e14</pages><issn>1198-743X</issn><eissn>1469-0691</eissn><abstract>The aim was to assess the incidence of sink contamination by multidrug-resistant (MDR) Pseudomonas aeruginosa and Enterobacteriaceae, risk factors for sink contamination and splashing, and their association with clinical infections in the intensive care setting.
A prospective French multicentre study (1 January to 30 May 2020) including in each intensive care unit (ICU) a point-prevalence study of sink contamination, a questionnaire of risk factors for sink contamination (sink use, disinfection procedure) and splashing (visible plashes, distance and barrier between sink and bed), and a 3-month prospective infection survey.
Seventy-three ICUs participated in the study. In total, 50.9% (606/1191) of the sinks were contaminated by MDR bacteria: 41.0% (110/268) of the sinks used only for handwashing, 55.3% (510/923) of those used for waste disposal, 23.0% (62/269) of sinks daily bleached, 59.1% (126/213) of those daily exposed to quaternary ammonium compounds (QACs) and 62.0% (285/460) of those untreated; 459 sinks (38.5%) showed visible splashes and 30.5% (363/1191) were close to the bed (<2 m) with no barrier around the sink. MDR-associated bloodstream infection incidence rates ≥0.70/1000 patient days were associated with ICUs meeting three or four of these conditions, i.e. a sink contamination rate ≥51%, prevalence of sinks with visible splashes ≥14%, prevalence of sinks close to the patient's bed ≥21% and no daily bleach disinfection (6/30 (20.0%) of the ICUs with none, one or two factors vs. 14/28 (50.0%) of the ICUs with three or four factors; p 0.016).
Our data showed frequent and multifactorial infectious risks associated with contaminated sinks in ICUs.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>33640576</pmid><doi>10.1016/j.cmi.2021.02.018</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1198-743X |
| ispartof | Clinical microbiology and infection, 2021-09, Vol.27 (9), p.1347.e9-1347.e14 |
| issn | 1198-743X 1469-0691 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2494876395 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Bloodstream infection Cross Infection - epidemiology Drug Resistance, Multiple, Bacterial Enterobacteriaceae Equipment Contamination Humans Intensive care Intensive Care Units Prospective Studies Pseudomonas aeruginosa Risk Factors Sink Ventilator-associated pneumonia Water Supply |
| title | A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit |
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