Nosocomial Pseudomonas aeruginosa Urinary Tract Infections

摘要: Two separate outbreaks ofPseudomonas aeruginosaurinary tract infections (UTIs) were associated with cystoscopy or transurethral prostate resection. The first outbreak was identified after routine bacteremia surveillance demonstrated four cases ofP aeruginosasepticemia in a three-month period. A six-month retrospective review of the microbiology records 14 aeruginosaUTI urologic surgery instrumentation. terminated implementation two major control measures: (1) replacement hexachlorophene solution an iodophor for preparing patients and cleaning instruments before disinfection, (2) weekly gas sterilization instruments. second outbreak, consisting 11 resection gland, occurred 187-bed community hospital. All available patient isolates serotype 011, culture rubber adaptor attached to resectoscope also yielded growth that serotype. promptly when sterilized between cases. (JAMA1982;248:1615-1618)