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The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit.
J Hosp Infect 2014; 87(2):126-30JH

Abstract

Between December 2010 and April 2012, intensive care unit (ICU) patients in our hospital were infrequently colonized with extended-spectrum β-lactamase-positive bacteria (ESBLs). We hypothesized that these ESBLs originated from patients' room sinks, and this was prospectively investigated by weekly culturing of patients and sinks during a 20-week period. ESBLs were isolated from all 13 sinks. Four patients became colonized with ESBLs that were genetically identical to ESBLs that had previously been isolated from the sink. One of these patients died of pneumonia caused by the ESBL. Transmission from sinks to patients was stopped by integrating self-disinfecting siphons to all sinks on the ICU.

Authors+Show Affiliations

Laboratory for Medical Microbiology and Infection Control, Deventer Ziekenhuis, The Netherlands. Electronic address: i.wolf@dz.nl.Laboratory for Medical Microbiology and Infection Control, Deventer Ziekenhuis, The Netherlands.Laboratory for Medical Microbiology and Infection Control, Deventer Ziekenhuis, The Netherlands.Intensive Care Unit, Deventer Ziekenhuis, Deventer, The Netherlands.Department of Medical Microbiology & Infection Control, VU University Medical Center, Amsterdam, The Netherlands.Laboratory for Medical Microbiology and Infection Control, Deventer Ziekenhuis, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24831607

Citation

Wolf, I, et al. "The Sink as a Correctable Source of Extended-spectrum Β-lactamase Contamination for Patients in the Intensive Care Unit." The Journal of Hospital Infection, vol. 87, no. 2, 2014, pp. 126-30.
Wolf I, Bergervoet PW, Sebens FW, et al. The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit. J Hosp Infect. 2014;87(2):126-30.
Wolf, I., Bergervoet, P. W., Sebens, F. W., van den Oever, H. L., Savelkoul, P. H., & van der Zwet, W. C. (2014). The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit. The Journal of Hospital Infection, 87(2), pp. 126-30. doi:10.1016/j.jhin.2014.02.013.
Wolf I, et al. The Sink as a Correctable Source of Extended-spectrum Β-lactamase Contamination for Patients in the Intensive Care Unit. J Hosp Infect. 2014;87(2):126-30. PubMed PMID: 24831607.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit. AU - Wolf,I, AU - Bergervoet,P W M, AU - Sebens,F W, AU - van den Oever,H L A, AU - Savelkoul,P H M, AU - van der Zwet,W C, Y1 - 2014/04/18/ PY - 2013/04/16/received PY - 2014/02/11/accepted PY - 2014/5/17/entrez PY - 2014/5/17/pubmed PY - 2015/1/13/medline KW - Amplified fragment length polymorphism KW - Extended-spectrum β-lactamase-positive bacteria KW - Hospital reservoir KW - Intensive care unit KW - Sink SP - 126 EP - 30 JF - The Journal of hospital infection JO - J. Hosp. Infect. VL - 87 IS - 2 N2 - Between December 2010 and April 2012, intensive care unit (ICU) patients in our hospital were infrequently colonized with extended-spectrum β-lactamase-positive bacteria (ESBLs). We hypothesized that these ESBLs originated from patients' room sinks, and this was prospectively investigated by weekly culturing of patients and sinks during a 20-week period. ESBLs were isolated from all 13 sinks. Four patients became colonized with ESBLs that were genetically identical to ESBLs that had previously been isolated from the sink. One of these patients died of pneumonia caused by the ESBL. Transmission from sinks to patients was stopped by integrating self-disinfecting siphons to all sinks on the ICU. SN - 1532-2939 UR - https://www.unboundmedicine.com/medline/citation/24831607/The_sink_as_a_correctable_source_of_extended_spectrum_β_lactamase_contamination_for_patients_in_the_intensive_care_unit_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0195-6701(14)00100-5 DB - PRIME DP - Unbound Medicine ER -