Environmental decontamination following occupancy of a burns patient with multiple carbapenemase-producing organisms

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• 作者：M.I. Garvey ; ^{mark.garvey@uhb.nhs.uk" class="auth_mail" title="E-mail the corresponding author} ; C.W. Bradley ; P. Jumaa
• 关键词：Carbapenemase-producing organisms ; Cleaning ; Burns ; Environmental sampling ; Decontamination
• 刊名：Journal of Hospital Infection
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：93
• 期：2
• 页码：136-140
• 全文大小：437 K

文摘

Over the last decade, carbapenemase-producing organisms (CPOs) have spread worldwide, becoming a major public health concern. This article reports the authors' experience in dealing with a burns patient infected with CPOs, and the decontamination methods employed to render a burns shock room safe for re-use. The shock room was cleaned after being vacated, but environmental sampling cultured multiple CPOs. A second decontamination was undertaken comprising a detergent, steam and hypochlorite clean followed by hydrogen peroxide misting, and no CPOs were cultured after subsequent environmental sampling. A burns patient harbouring CPOs contaminates the surroundings heavily, so standard cleaning is insufficient to reduce the environmental bioburden.