Are Sink Drainage Systems a Reservoir for Hospital-Acquired Gammaproteobacteria Colonization and Infection? A Systematic Review
Abstract Increasing rates of antimicrobial-resistant organisms have focused attention on sink drainage systems as reservoirs for hospital-acquired Gammaproteobacteria colonization and infection. We aimed to assess the quality of evidence for transmission from this reservoir. We searched 8 databases...
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| Veröffentlicht in: | Open Forum Infectious Diseases 2021-02, Vol.8 (2), p.ofaa590-ofaa590 |
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| creator | Volling, Cheryl Ahangari, Narges Bartoszko, Jessica J Coleman, Brenda L Garcia-Jeldes, Felipe Jamal, Alainna J Johnstone, Jennie Kandel, Christopher Kohler, Philipp Maltezou, Helena C Maze dit Mieusement, Lorraine McKenzie, Nneka Mertz, Dominik Monod, Adam Saeed, Salman Shea, Barbara Stuart, Rhonda L Thomas, Sera Uleryk, Elizabeth McGeer, Allison |
| description | Abstract
Increasing rates of antimicrobial-resistant organisms have focused attention on sink drainage systems as reservoirs for hospital-acquired Gammaproteobacteria colonization and infection. We aimed to assess the quality of evidence for transmission from this reservoir. We searched 8 databases and identified 52 studies implicating sink drainage systems in acute care hospitals as a reservoir for Gammaproteobacterial colonization/infection. We used a causality tool to summarize the quality of evidence. Included studies provided evidence of co-occurrence of contaminated sink drainage systems and colonization/infection, temporal sequencing compatible with sink drainage reservoirs, some steps in potential causal pathways, and relatedness between bacteria from sink drainage systems and patients. Some studies provided convincing evidence of reduced risk of organism acquisition following interventions. No single study provided convincing evidence across all causality domains, and the attributable fraction of infections related to sink drainage systems remains unknown. These results may help to guide conduct and reporting in future studies. |
| doi_str_mv | 10.1093/ofid/ofaa590 |
| format | Article |
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Increasing rates of antimicrobial-resistant organisms have focused attention on sink drainage systems as reservoirs for hospital-acquired Gammaproteobacteria colonization and infection. We aimed to assess the quality of evidence for transmission from this reservoir. We searched 8 databases and identified 52 studies implicating sink drainage systems in acute care hospitals as a reservoir for Gammaproteobacterial colonization/infection. We used a causality tool to summarize the quality of evidence. Included studies provided evidence of co-occurrence of contaminated sink drainage systems and colonization/infection, temporal sequencing compatible with sink drainage reservoirs, some steps in potential causal pathways, and relatedness between bacteria from sink drainage systems and patients. Some studies provided convincing evidence of reduced risk of organism acquisition following interventions. No single study provided convincing evidence across all causality domains, and the attributable fraction of infections related to sink drainage systems remains unknown. These results may help to guide conduct and reporting in future studies.</description><identifier>ISSN: 2328-8957</identifier><identifier>EISSN: 2328-8957</identifier><identifier>DOI: 10.1093/ofid/ofaa590</identifier><identifier>PMID: 33553469</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Canada ; Health aspects ; Hospitals ; Medical care ; Medical research ; Medicine, Experimental ; Ontario ; Quality management ; Reservoirs ; Review</subject><ispartof>Open Forum Infectious Diseases, 2021-02, Vol.8 (2), p.ofaa590-ofaa590</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America.</rights><rights>COPYRIGHT 2021 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-dacc4d947fa9c50ab48aa033797433f624ec1f3884f550496a58fca192a30ba83</citedby><cites>FETCH-LOGICAL-c483t-dacc4d947fa9c50ab48aa033797433f624ec1f3884f550496a58fca192a30ba83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856333/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856333/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1598,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33553469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Volling, Cheryl</creatorcontrib><creatorcontrib>Ahangari, Narges</creatorcontrib><creatorcontrib>Bartoszko, Jessica J</creatorcontrib><creatorcontrib>Coleman, Brenda L</creatorcontrib><creatorcontrib>Garcia-Jeldes, Felipe</creatorcontrib><creatorcontrib>Jamal, Alainna J</creatorcontrib><creatorcontrib>Johnstone, Jennie</creatorcontrib><creatorcontrib>Kandel, Christopher</creatorcontrib><creatorcontrib>Kohler, Philipp</creatorcontrib><creatorcontrib>Maltezou, Helena C</creatorcontrib><creatorcontrib>Maze dit Mieusement, Lorraine</creatorcontrib><creatorcontrib>McKenzie, Nneka</creatorcontrib><creatorcontrib>Mertz, Dominik</creatorcontrib><creatorcontrib>Monod, Adam</creatorcontrib><creatorcontrib>Saeed, Salman</creatorcontrib><creatorcontrib>Shea, Barbara</creatorcontrib><creatorcontrib>Stuart, Rhonda L</creatorcontrib><creatorcontrib>Thomas, Sera</creatorcontrib><creatorcontrib>Uleryk, Elizabeth</creatorcontrib><creatorcontrib>McGeer, Allison</creatorcontrib><title>Are Sink Drainage Systems a Reservoir for Hospital-Acquired Gammaproteobacteria Colonization and Infection? A Systematic Review</title><title>Open Forum Infectious Diseases</title><addtitle>Open Forum Infect Dis</addtitle><description>Abstract
Increasing rates of antimicrobial-resistant organisms have focused attention on sink drainage systems as reservoirs for hospital-acquired Gammaproteobacteria colonization and infection. We aimed to assess the quality of evidence for transmission from this reservoir. We searched 8 databases and identified 52 studies implicating sink drainage systems in acute care hospitals as a reservoir for Gammaproteobacterial colonization/infection. We used a causality tool to summarize the quality of evidence. Included studies provided evidence of co-occurrence of contaminated sink drainage systems and colonization/infection, temporal sequencing compatible with sink drainage reservoirs, some steps in potential causal pathways, and relatedness between bacteria from sink drainage systems and patients. Some studies provided convincing evidence of reduced risk of organism acquisition following interventions. No single study provided convincing evidence across all causality domains, and the attributable fraction of infections related to sink drainage systems remains unknown. These results may help to guide conduct and reporting in future studies.</description><subject>Canada</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Medical care</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Ontario</subject><subject>Quality management</subject><subject>Reservoirs</subject><subject>Review</subject><issn>2328-8957</issn><issn>2328-8957</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNp9kU1v1DAQhiMEotXSG2fkGxya4sR2Yl9A0QJtpUpIfJytWWe8GBI7tZNF5cJfx6tdqnLBljwezzOvxnqL4nlFLyqq2OtgXZ8PAKHoo-K0ZrUspRLt4wf3k-Ispe-U0qqigrbqaXHCmBCMN-q0-N1FJJ-d_0HeRXAetjm7SzOOiQD5hAnjLrhIbIjkKqTJzTCUnbldXMSeXMI4whTDjGEDZsbogKzDELz7BbMLnoDvybW3aPbZW9IdtXPRZPGdw5_PiicWhoRnx7gqvn54_2V9Vd58vLxedzel4ZLNZQ_G8F7x1oIygsKGSwDKWKtazphtao6mskxKboWgXDUgpDVQqRoY3YBkq-LNQXdaNiP2Bv0cYdBTdCPEOx3A6X8r3n3T27DTrRQNy2tVvDoKxHC7YJr16JLBYQCPYUm65nI_SlXzjF4c0C0MqJ23ISuavHscnQkercvvXaNaWitR0dxwfmgwMaQU0d7PVVG991nvfdZHnzP-4uFf7uG_rmbg5QEIy_R_qT-KALUT</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Volling, Cheryl</creator><creator>Ahangari, Narges</creator><creator>Bartoszko, Jessica J</creator><creator>Coleman, Brenda L</creator><creator>Garcia-Jeldes, Felipe</creator><creator>Jamal, Alainna J</creator><creator>Johnstone, Jennie</creator><creator>Kandel, Christopher</creator><creator>Kohler, Philipp</creator><creator>Maltezou, Helena C</creator><creator>Maze dit Mieusement, Lorraine</creator><creator>McKenzie, Nneka</creator><creator>Mertz, Dominik</creator><creator>Monod, Adam</creator><creator>Saeed, Salman</creator><creator>Shea, Barbara</creator><creator>Stuart, Rhonda L</creator><creator>Thomas, Sera</creator><creator>Uleryk, Elizabeth</creator><creator>McGeer, Allison</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210201</creationdate><title>Are Sink Drainage Systems a Reservoir for Hospital-Acquired Gammaproteobacteria Colonization and Infection? 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Increasing rates of antimicrobial-resistant organisms have focused attention on sink drainage systems as reservoirs for hospital-acquired Gammaproteobacteria colonization and infection. We aimed to assess the quality of evidence for transmission from this reservoir. We searched 8 databases and identified 52 studies implicating sink drainage systems in acute care hospitals as a reservoir for Gammaproteobacterial colonization/infection. We used a causality tool to summarize the quality of evidence. Included studies provided evidence of co-occurrence of contaminated sink drainage systems and colonization/infection, temporal sequencing compatible with sink drainage reservoirs, some steps in potential causal pathways, and relatedness between bacteria from sink drainage systems and patients. Some studies provided convincing evidence of reduced risk of organism acquisition following interventions. No single study provided convincing evidence across all causality domains, and the attributable fraction of infections related to sink drainage systems remains unknown. These results may help to guide conduct and reporting in future studies.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>33553469</pmid><doi>10.1093/ofid/ofaa590</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2328-8957 |
| ispartof | Open Forum Infectious Diseases, 2021-02, Vol.8 (2), p.ofaa590-ofaa590 |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford Journals Open Access Collection; PubMed Central |
| subjects | Canada Health aspects Hospitals Medical care Medical research Medicine, Experimental Ontario Quality management Reservoirs Review |
| title | Are Sink Drainage Systems a Reservoir for Hospital-Acquired Gammaproteobacteria Colonization and Infection? A Systematic Review |
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