Molecular epidemiology of a multiresistant Pseudomonas aeruginosa outbreak in a paediatric intensive care unit

G Miranda1, B Leanos, L Marquez

  • 1Infectious Diseases Department, Mexico City, Mexico.

Insights

Multiresistant Pseudomonas aeruginosa outbreaks in a pediatric intensive care unit were investigated. Pulsed-field gel electrophoresis (PFGE) identified a single clone responsible for most infections, suggesting cross-contamination as the primary transmission route.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Hospital Epidemiology

Background:

  • Multiresistant (MR) Pseudomonas aeruginosa poses a significant threat in healthcare settings, particularly in pediatric intensive care units (PICUs).
  • Early detection and characterization of bacterial clones are crucial for controlling hospital-acquired infections.

Purpose of the Study:

  • To establish a surveillance program for detecting MR Pseudomonas aeruginosa infections and colonization in hospitalized patients.
  • To investigate the genetic relatedness of P. aeruginosa isolates and identify potential transmission routes within the hospital.

Main Methods:

  • Prospective surveillance for P. aeruginosa in a PICU.
  • Molecular typing of isolates using pulsed-field gel electrophoresis (PFGE).
  • Comparison of PFGE results with outer membrane protein (OMP) profiles and serotyping for strain discrimination.

Main Results:

  • Fifty-five P. aeruginosa strains were isolated from 23 patients over two months.
  • PFGE identified a single clone infecting 14 patients, with transmission extending beyond the PICU.
  • PFGE demonstrated superior discriminatory power compared to OMP analysis and serotyping.

Conclusions:

  • Cross-contamination was the likely mode of acquisition for the majority of patients infected with the dominant P. aeruginosa clone.
  • PFGE is a highly effective tool for tracking the spread of P. aeruginosa within a hospital environment.
  • The study highlights the importance of robust surveillance and infection control measures to prevent the dissemination of multiresistant pathogens.

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