Hostname: page-component-77c89778f8-vsgnj Total loading time: 0 Render date: 2024-07-18T20:52:16.390Z Has data issue: false hasContentIssue false
  • English
  • Français

Search and You Will Find: Detecting Extended-Spectrum β-Lactamase–Producing Klebsiella pneumoniae from a Patient's Immediate Environment

Published online by Cambridge University Press:  02 January 2015

Christopher Judge ,
Sandra Galvin ,
Liam Burke ,
Toney Thomas ,
Hilary Humphreys  and
Deirdre Fitzgerald-Hughes
Christopher Judge
Affiliation:
School of Biological Sciences, Dublin Institute of Technology, Dublin, Ireland Department of Microbiology, Beaumont Hospital, Dublin, Ireland
Sandra Galvin
Affiliation:
Department of Clinical Microbiology, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Liam Burke
Affiliation:
Department of Clinical Microbiology, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Toney Thomas
Affiliation:
Department of Infection Prevention and Control, Beaumont Hospital, Dublin, Ireland
Hilary Humphreys
Affiliation:
Department of Microbiology, Beaumont Hospital, Dublin, Ireland Department of Clinical Microbiology, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
Deirdre Fitzgerald-Hughes*
Affiliation:
Department of Clinical Microbiology, Education and Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
*
Department of Clinical Microbiology, RCSI Education and Research Centre, Beaumont Hospital, Dublin 9, Ireland (dfitzgeraldhughes@rcsi.ie)
Get access Rights & Permissions [Opens in a new window]

Extract

Contamination of inanimate surfaces contributes to the transmission of healthcare-associated infection, a phenomenon that is well documented for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). The high rate of skin colonization with these bacteria among healthcare workers increases the risk of cross contamination via high-touch surfaces. Since gram-negative bacteria are believed to survive poorly on surfaces, their role in the transmission of infection has not been investigated as widely. Extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE) are widespread and endemic in nosocomial settings. Given the increasing prevalence of infections involving ESBL-PE, the role of the environment in ESBL-PE transmission should be explored. This study reports the evaluation of 2 ESBL-PE recovery methods from typical hospital surface materials and their application for recovery of ESBL-PE adjacent to an ESBL-positive patient.

Type
Research Briefs
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 5: Special Topic Issue: The Role of the Environment in Infection Prevention , May 2013 , pp. 534 - 536
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Dancer, SJ. The role of environmental cleaning in the control of hospital-acquired infection. J Hosp Infect 2009;73(4):378–385.Google Scholar
2.Eckstein, BC, Adams, DA, Eckstein, EC, et al.Reduction of Clostridium difficile and vancomycin-resistant Enterococcus contamination of environmental surfaces after an intervention to improve cleaning methods. BMC Infect Dis 2007;7:61.Google Scholar
3.Zoutman, DE, Ford, BD. The relationship between hospital infection surveillance and control activities and antibiotic-resistant pathogen rates. Am J Infect Control 2005;33(1):1–5.CrossRefGoogle ScholarPubMed
4.Elie-Turenne, M-C., Fernandes, H, Mediavilla, JR, et al.Prevalence and characteristics of Staphylococcus aureus colonization among healthcare professionals in an urban teaching hospital. Infect Control Hosp Epidemiol 2010;31(6):574–580.Google Scholar
5.Coque, TM, Baquero, F, Canton, R. Increasing prevalence of ESBL-producing Enterobacteriaceae in Europe. Euro Surveill 2008;13(47):pii= 19044.CrossRefGoogle ScholarPubMed
6.European Centre of Disease Prevention and Control (ECDC). Antimicrobial Resistance Surveillance in Europe 2009: Annual Report of the European Antimicrobial Resistance Surveillance Network (EARS-Net). Stockholm: ECDC, 2010.Google Scholar
7.Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing:20th Informational Supplement. Wayne, PA: CLSI, 2006.Google Scholar
8.Ribot, EM, Fair, MA, Gautom, R, et al.Standardization of pulsed-field gel electrophoresis protocols for the subtyping of Escherichia coli 0157:H7, Salmonella, and Shigella for PulseNet. Food-borne Pathog Dis 2006;3(1):59–67.Google Scholar
9.Guet-Revillet, H, Le Monnier, A, Breton, N, et al.Environmental contamination with extended-spectrum β-lactamases: is there any difference between Escherichia coli and Klebsiella spp? Am J Infect Control 2012;40(9):845–848.Google Scholar
10.Lemmen, SW, Hafher, H, Zolldann, D, Stanzel, S, Lutticken, R. Distribution of multi-resistant gram-negative versus gram-positive bacteria in the hospital inanimate environment. J Hosp Infect 2004;56(3):191–197.CrossRefGoogle ScholarPubMed