Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-12T07:25:23.545Z Has data issue: false hasContentIssue false
  • English
  • Français

An Outbreak of Pseudomonas aeruginosa Ventilator-Associated Respiratory Infections Due to Contaminated Food Coloring Dye - Further Evidence of the Significance of Gastric Colonization Preceding Nosocomial Pneumonia

Published online by Cambridge University Press:  02 January 2015

Thomas M. File Jr ,
James S. Tan ,
Richard B. Thomson Jr ,
Claudester Stephens  and
Peggy Thompson
Get access Rights & Permissions [Opens in a new window]

Abstract

An outbreak of ventilator-associated Pseudomonas aeruginosa respiratory infections in an intensive care unit of a teaching hospital was found to be associated with contaminated food coloring dye. Serotyping and bacteriocin typing indicated that the same strain of Pseudomonas was isolated from the food dye and from the respiratory cultures of the majority of patients. This observation lends credence to the importance of gastric colonization preceding pneumonia in ventilated patients.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 16 , Issue 7 , July 1995 , pp. 417 - 418
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1995

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.Atherton, ST, White, DJ. Stomach as source of bacteria colonizing respiratory tract during artificial ventilation. Lancet 1978;2:968–969.Google Scholar
2.Torres, A, El-ebiary, M, Gonzalez, J, et al. Gastric and pharyngeal flora in nosocomial pneumonia acquired during mechanical ventilation. Am Rev Respir Dis 1993;148:352–357.Google Scholar
3.du Moulin, GC, Paterson, DG, Hedley-Whyte, J, Lisbon, AAspiration of gastric bacteria in antacid-treated patients: a frequent cause of postoperative colonization of the airway, Lancet 1982;1:242–245.Google Scholar
4.Goularte, TA, Lichtenberg, DA, Craven, DE. Gastric colonization in patients receiving antacids and mechanical ventilation: a mechanism for pharyngeal colonization. Am J Inject Control 1986;14:88. Abstract.Google Scholar
5.Daschner, F, Kappstein, I, Engels, I, Reuschenback, K, Pfisterer, J, Krieg, N. Stress ulcer prophylaxis and ventilation pneumonia: prevention by antibacterial cytoprotecüve agents? Infect Control Hosp Epidemiol 1988;9:59–65.Google Scholar
6.Prod'hom, G, Leuenberger, P, Koerfer, J, et al. Nosocomial pneumonia in mechanically ventilated patients receiving antacid, ranitidine, or sucralfate as prophylaxis for stress ulcer: a randomized controlled trial. Ann Intern Med 1994;120:653–662.Google Scholar
7.Bonten, M, Gaillard C, van Tiel FSmeets, H, van der Geest, S, Stobberingh, E. The stomach is not a source for colonization of the upper respiratory tract and pneumonia in ICU patients. Chest 1994;105:878–884.Google Scholar
8.Schable, B. Olson, DR, Smith, PB. Improved, computer-generated system for py ocin typing of Pseudomonas aeruginosa. J Clin Microbiol 1986;24:1017–1022.Google Scholar
9.Dowdle, WR. Draft guideline for prevention of nosocomial pneumonia. Federal Register 1994;59:4980–5022.Google Scholar
10.Craven, DE. Nosocomial pneumonia: new concepts of an old disease. Infect Control Hosp Epidemiol 1988;9:57-58.Google Scholar