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Published on: June 12, 2013
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Dialysis drains as a possible source for carbapenem-resistant pathogens causing an ICU outbreak
Birgit Ross1, Marco Krull2, Peter Rath3
1Krankenhaushygiene, Universitätsmedizin Essen, 45122, Essen, Germany. birgit.ross@uk-essen.de.
Infection
|November 23, 2018
Summary
Dialysis drains at the bedside can harbor KPC-producing Enterobacteriaceae, posing a transmission risk. Changing waste management protocols eliminated KPC detection in patients, highlighting the need for specific precautions.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
- Hospital Epidemiology
Background:
- Carbapenemase-producing Enterobacteriaceae (KPC) are a significant threat in healthcare settings.
- Patients in intensive care units (ICUs) often require dialysis, increasing infection risk.
- Bedside dialysis drains may serve as reservoirs for multidrug-resistant organisms.
Purpose of the Study:
- To investigate the link between bedside dialysis drains and KPC-producing Enterobacteriaceae colonization in ICU patients.
- To evaluate the effectiveness of modified dialysis waste management in reducing KPC transmission.
Main Methods:
- Case series conducted in a tertiary referral hospital's ICU.
- Routine screening identified KPC-producing Enterobacteriaceae colonization in four patients undergoing continuous veno-venous dialysis.
- Environmental sampling of dialysis drains and modification of waste management procedures.
Main Results:
- KPC-producing Enterobacteriaceae were detected in dialysis drains within the ICU.
- Following changes in dialysis waste management, no KPC-producing Enterobacteriaceae were detected in subsequent patient screenings.
- This suggests the drains were a source of KPC transmission.
Conclusions:
- Bedside dialysis drains can act as a reservoir for KPC-producing Enterobacteriaceae.
- Improper use of these drains poses a risk of pathogen transmission to patients.
- Implementation of specific precautions and optimized waste management is crucial to mitigate this risk.
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