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A cluster of Chryseobacterium indologenes cases related to drainage water in intensive care units

Published online by Cambridge University Press:  21 June 2018

Mireia Cantero ,
Lina M. Parra ,
Elena Muñez ,
Reyes Iranzo ,
Maria Isabel Sánchez-Romero ,
Jesús Oteo  and
Angel Asensio
Mireia Cantero*
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Lina M. Parra
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Elena Muñez
Affiliation:
Internal Medicine Department, Infectious Disease Unit, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Reyes Iranzo
Affiliation:
Anesthesiology Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Maria Isabel Sánchez-Romero
Affiliation:
Department of Microbiology, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Jesús Oteo
Affiliation:
Antibiotic Laboratory, Department of Bacteriology, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain
Angel Asensio
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
*
Author for correspondence: Mireia Cantero, Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, C/Manuel de Falla Nº 1, Majadahonda, Madrid, 28222 Spain. E-mail: mireia.cantero@salud.madrid.org
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Abstract

In this outbreak, 12 patients in intensive care units acquired a Chryseobacterium indologenes infection. Cultures from sinkholes and air samples were positive for C. indologenes. After removing wash basins, no new cases appeared. Sinkholes, potentially contaminated, can act as a reservoir for C. indologenes and other microorganisms. Thus, patients and equipment should be protected from sink splashes to avoid contamination.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 8 , August 2018 , pp. 997 - 999
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

1. Wang, JL, Chen, ML, Eason Lin, Y, Chang, SC, Chen, YC. Association between contaminated faucets and colonization or infection by non-fermenting gram-negative bacteria in intensive care units in Taiwan. J Clin Microbiol 2009;47:3226–3230.Google Scholar
2. Lambiase, A, Del Pezzo, M, Raia, V, Sepe, A, Ferri, P, Rossano, F. Chryseobacterium respiratory tract infections in patients with cystic fibrosis. J Infect 2007;55:518–523.Google Scholar
3. Chen, FL, Wang, GC, Teng, SO, Ou, TY, Yu, FL, Lee, WS. Clinical and epidemiological features of Chryseobacterium indologenes infections: analysis of 215 cases. J Microbiol Immunol Infect 2013;46:425–432.Google Scholar
4. Peñasco, Y, Duerto, J, González-Castro, A, Domínguez, MJ, Rodríguez Borregan, JC. Ventilador-associated pneumonia due to Chryseobacterium indologenes . Med Intensiva 2016;40:66–67.Google Scholar
5. González-Castro, A, Alsasua, A, Peñasco, Y, Rodríguez, JC, Duerto, J. Tracheo-bronchitis and pneumonia associated with mechanical ventilation by Chryseobacterium indologenes . Rev Esp Anestesiol Reanim 2017;64:294–298.Google Scholar
6. de Las Casas Cámara, G, Martín-Ríos, MD, Adillo-Montero, MI, Muñoz-Egea, MC, Zapardiel-Ferrero, J, Pérez-Jorge Peremarch, C. Under-utilization of taps in intensive care unit as a cause of reservoirs of non-fermenting gram-negative bacilli. Enferm Infecc Microbiol Clin 2018;36:214–217.Google Scholar
7. Trautmann, M, Michalsky, T, Wiedeck, H, Radosavijevic, V, Ruhnke, M. Tap water colonization with Pseudomonas aeruginosa in a surgical intensive care unit and relation to Pseudomonas infections of ICU patients. Infect Control Hosp Epidemiol 2001;22:49–52.Google Scholar
8. Bloom, K. Drainage systems, an occluded source of sanitation related outbreaks. Arch Public Health 2015;73:8.Google Scholar
9. Kanamori, H, Weber, DJ, Rutala, WA. Healthcare outbreaks associated with a water reservoir and infection prevention strategies. Healthcare Epidemiology CID 2016;62:1423–1433.Google Scholar
10. Horan, T, Adrus, M, Dudeck, M. CDC/NHSN surveillance definition of healthcare-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309–332.Google Scholar
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