Successful control of an outbreak of Klebsiella pneumoniae carbapenemase-producing K. pneumoniae at a long-term acute care hospital.
作者： L. Silvia Munoz-Price , Mary K. Hayden , Karen Lolans , Sarah Won , Karen Calvert
DOI: 10.1086/651097
关键词:
摘要: Objective. To determine the effect of a bundle infection control interventions on horizontal transmission Klebsiella pneumoniae carbapenemase (KPC)–producing K. during an outbreak. Design. Quasi‐experimental study. Setting. Long‐term acute care hospital. Intervention. On July 23, 2008, bundled intervention was implemented: daily 2% chlorhexidine gluconate baths for patients, enhanced environmental cleaning, surveillance cultures at admission, serial point prevalence (PPS), isolation precautions, and training personnel. Baseline PPS performed before implemented. Any gram‐negative rod isolate suspected KPC production underwent modified Hodge test and, if results were positive, confirmatory polymerase chain reaction testing. Clinical cases defined to occur patients whose samples yielded KPC‐positive rods in clinical cultures. Results. Baseline June 17, showed colonization with KP...
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