Early identification and control of carbapenemase-producing Klebsiella pneumoniae , originating from contaminated endoscopic equipment

Klebsiella producing carbapenemase is an emerging pathogen. We report transmission of this organism by contaminated endoscopic instruments. Quick identification of source, staff education, contact precautions, and emphasis on hand and environmental hygiene led to case control and prevention of outbr...

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Bibliographic Details
Published in:American journal of infection control 2013-06, Vol.41 (6), p.562-564
Main Authors: Alrabaa, Sally F., MD, Nguyen, Phuong, MD, Sanderson, Roger, MA, BSN, Baluch, Aliyah, MD, Sandin, Ramon L., MD, MS, FCAP, ABP-MM, Kelker, Danashree, MD, Karlapalem, Chaitanya, MBBS, Thompson, Peggy, RN, BSN, CIC, Sams, Kay, RN, BSN, CIC, CCRN, Martin, Stacy, RN, BSN, CIC, Montero, Jose, MD, Greene, John N., MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Anti-Bacterial Agents - pharmacology
Bacteria
Bacterial Proteins - biosynthesis
beta-Lactamases - biosynthesis
Biological and medical sciences
Carbapenems
Cross Infection - microbiology
Cross Infection - prevention & control
Digestive system
Disease Outbreaks - prevention & control
Disease transmission
Drug Resistance, Bacterial
Endoscopic retrograde cholangiopancreatography
Endoscopy - adverse effects
Epidemics
Epidemiology. Vaccinations
Equipment Contamination - prevention & control
ERCP
Female
General aspects
Humans
Hygiene
Iatrogenic transmission
Identification
Infection Control
Infection Control - methods
Infectious Disease
Infectious diseases
Investigative techniques, diagnostic techniques (general aspects)
Klebsiella Infections - diagnosis
Klebsiella Infections - microbiology
Klebsiella Infections - prevention & control
Klebsiella pneumoniae - isolation & purification
Klebsiella pneumoniae - metabolism
Male
Medical sciences
Middle Aged
Outbreak prevention
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Source identification
Citations: Items that this one cites
Items that cite this one
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Description
Summary:Klebsiella producing carbapenemase is an emerging pathogen. We report transmission of this organism by contaminated endoscopic instruments. Quick identification of source, staff education, contact precautions, and emphasis on hand and environmental hygiene led to case control and prevention of outbreak.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2012.07.008