巴希亚州萨尔瓦多的一家医院的万科米辛耐药肠球菌感染:描述性研究,2021-2023年
Verônica França Rocha1,2, Matheus Sales Barbosa3, Euclimeire da Silva Neves1
1Secretaria de Saúde do Estado da Bahia, Instituto Couto Maia, Salvador, BA, Brazil.
概括
通过改进消毒程序,在COVID-19单位中控制了一场抗万科米辛抗性肠球菌 (VRE) 疫情. 本研究详细介绍了VRE爆发及其通过增强材料消毒的成功制.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 医院流行病学 医院流行病学
背景情况:
- 在专门适应COVID-19患者的传染病医院单位发生了抗万科米辛抗性肠球菌 (VRE) 疫情.
- 这家位于巴西萨尔瓦多的医院于2020年3月开始对其设施进行了重大调整.
研究的目的:
- 为了调查和解决COVID-19住院病房内的VRE爆发.
- 为了确定VRE爆发的特征和控制措施.
主要方法:
- 一项描述性研究分析了从2021年1月到2023年12月的阳性VRE培养患者.
- 使用实时聚合酶连锁反应来确定菌素耐药性基因型 (vanA/vanB).
- 通过脉冲场凝电泳识别了克隆VRE概况.
主要成果:
- 15名患者被确定患有VRE感染或殖民:7名E. faecalis,7名E. faecium,1名E. gallinarum.
- 确定了两个主要的克隆特征 (E. faecalis特征A,E. faecium特征C),其中vanA基因型占主导地位.
- 由于消毒和未消毒的材料,人们怀疑在公用事业/排水室的水槽中存在交叉污染.
结论:
- 在住院病房的VRE爆发被成功控制.
- 在公用事业/污水室中实施单向流动用于材料消毒是疫情控制的关键干预措施.
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