Environmental sampling protocol devised and implemented to resolve a nosocomial outbreak due to carbapenem-resistant Klebsiella oxytoca - 31/10/16
Doi : 10.1016/j.ajic.2016.04.219
María Carmen Domínguez Jiménez, MD a, * 
, Salvador Vergara-López, MD b
, Salvador Vergara-López, MD b a Laboratory of Microbiology, Hospital de La Merced, Osuna, Seville, Spain
b Internal Medicine Service, Hospital del Tomillar, Seville, Spain
*Address correspondence to María Carmen Domínguez Jiménez, MD, Laboratory of Microbiology, Hospital de La Merced, Avda de la Constitución s/n, Osuna, 41640 Seville, Spain. (M.C. Domínguez Jiménez).Laboratory of Microbiology, Hospital de La MercedAvda de la Constitución s/nOsunaSeville41640Spain
Highlights |
• | Environmental investigation in the context of an outbreak can be an arduous task. |
• | If it is Klebsiella oxytoca sinks/washbasins and drains must be sampled. |
• | It is necessary perform sampling always before cleaning the area. |
• | It is important to concentrate the water samples to maximize bacterial recovery. |
• | For cultures, it is helpful to use an enrichment broth which favors growth. |
Abstract |
We describe a method for investigating wet foci in the hospital environment of a nosocomial outbreak due to carbapenem-resistant Klebsiella oxytoca. By searching in areas that are usually inaccessible, by immersing sampling swabs in thioglycolate broth, and by concentrating the sampled water, reservoirs of infection that would have gone unnoticed can be detected.
Le texte complet de cet article est disponible en PDF.Key Words : Outbreak, Pipes
Plan
| Conflicts of Interest: None to report. |
© 2016
Association for Professionals in Infection Control and Epidemiology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 44 - N° 11
P. 1401-1403 - novembre 2016 Retour au numéro
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