Japanese Journal of Infection Prevention and Control
Online ISSN : 1883-2407
Print ISSN : 1882-532X
ISSN-L : 1882-532X
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Infection Control of Outbreak by Multidrug-resistant Pseudomonas aeruginosa in Small and Medium Hospitals —Board Certified Infection Control Pharmacy Specialist's Approach—
Masami TSUGITA
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2011 Volume 26 Issue 2 Pages 98-104

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Abstract

  Multidrug-resistant Pseudomonas aeruginosa (MDRP) was detected in 26 patients between August 2007 and September 2009. DNA analysis of the 10 strains in 10 patients newly detected since January 2008 with pulsed-field gel electrophoresis (PFGE) revealed similar patterns in 8 of the 10 strains tested. Nine of the 10 patients had undergone continuous urinary catheterization, and the infection was probably propagated through incorrect handling and urine processing of the continuous urinary catheterization system and the bag. However, 2 strains showed no relationship, so MDRP was detected of strains other than the similar strains in the region, so carrier patients may be present, and correct use of antimicrobial agent is important. The outbreak of MDRP was resolved by the guiding ICT including a Board Certified Infection Control Pharmacy Specialist in this hospital despite the common absence of a specialist bacteriological examination room in small and medium hospitals and further infection was absent.

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© 2011 Japanese Society for Infection Prevention and Control
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