与COVID-19供应链问题相关的Achromobacter集群
Mary Ellen Scales1,2, Megan C Gallagher3,4, Sarah Haessler3,4
1Division of Healthcare Quality, Baystate Medical Center, Springfield, MA, USA.
概括
在两个心脏手术患者中发现了Achromobacter xylosoxidans感染. 这种伪爆发源于在2019年冠状病毒疾病大流行供应链短缺期间的实验室盐水保护实践.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 在临床环境中出现不寻常的细菌分离物需要进行彻底的调查.
- 在2019年冠状病毒疫情期间,医疗保健系统面临着前所未有的挑战,影响了供应链.
- 在供应短缺期间,实验室实践可能会发生变化,这可能会影响患者的安全.
研究的目的:
- 为了调查明显增加Achromobacter xylosoxidans病例的原因.
- 确定心脏外科手术患者伪爆发的来源和促成因素.
- 评估供应链中断对实验室程序和患者护理的影响.
主要方法:
- 病人的病历和实验室数据的回顾性审查.
- 临床样品和实验室试剂的微生物学分析.
- 对潜在的源头和传播途径的流行病学调查.
主要成果:
- 亚克罗巴克特菌氧化素被分离到两个心脏手术患者身上.
- 调查显示,这是一个伪疫情,而不是真正增加的感染.
- 实验室盐水的节约实践,由大流行相关的短缺驱动,被确定为原因.
结论:
- 在供应短缺期间,实验室的盐水保护实践可能会导致伪爆发.
- 有效的供应链管理和遵守标准实验室协议对于患者安全至关重要.
- 这一案例凸显了2019年新冠肺炎疫情对临床微生物学和患者结果的间接影响.
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