Evidence map›Paper›PMID 21359222›Full record

ArticlePloS one2011

Molecular epidemiology of a Pseudomonas aeruginosa hospital outbreak driven by a contaminated disinfectant-soap dispenser.

Simone Lanini, Silvia D'Arezzo, Vincenzo Puro, Lorena Martini, Francesco Imperi, Pierluca Piselli, Marco Montanaro, Simonetta Paoletti, Paolo Visca, Giuseppe Ippolito

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 101 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. S2k-Guideline hand antisepsis and hand hygiene.GMS hygiene and infection control · 2024
    Article
  6. Resistance inAntibiotics (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Molecular typing of clinical and environmental isolates ofIranian journal of basic medical sciences · 2022
    Article
  13. β-lactam Resistance inPathogens (Basel, Switzerland) · 2021
    Review
  14. Chlorhexidine leads to the evolution of antibiotic-resistant Pseudomonas aeruginosa.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  15. Triclosan Tolerance Is Driven by a Conserved Mechanism in DiverseApplied and environmental microbiology · 2021
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Simone LaniniNational Institute for Infectious Diseases "Lazzaro Spallanzani", I.R.C.C.S., Rome, Italy. simone.lanini@inmi.it
Silvia D'Arezzo
Vincenzo Puro
Lorena Martini
Francesco Imperi
Pierluca Piselli
Marco Montanaro
Simonetta Paoletti
Paolo Visca
Giuseppe Ippolito
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITAzienda Sanitaria Locale Viterbo · ITRoma Tre University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePseudomonas aeruginosa infection represents a main cause of morbidity and mortality among immunocompromised patients. This study describes a fatal epidemic of P. aeruginosa that occurred in a hematology unit in Italy.

methodsRetrospective cohort study, prospective surveillance, auditing, extensive testing on healthcare workers and environmental investigation were performed to define the dynamics and potential causes of transmission. RAPD, macrorestriction analyses and sequence typing were used to define relationships between P. aeruginosa isolates.

resultsEighteen cases of infection were identified in the different phases of the investigation. Of these, five constitute a significant molecular cluster of infection. A P. aeruginosa strain with the same genetic fingerprint and sequence type (ST175) as clinical isolates strain was also isolated from a heavily contaminated triclosan soap dispenser. DISCUSSION AND

conclusionsOur results are consistent with the hypothesis that patients became indirectly infected, e.g., during central venous catheter handling through contaminated items, and that the triclosan soap dispenser acted as a common continuous source of P. aeruginosa infection. Since P. aeruginosa is intrinsically unsusceptible to triclosan, the use of triclosan-based disinfectant formulations should be avoided in those healthcare settings hosting patients at high risk of P. aeruginosa infection.

Indexed as

DisinfectantsEquipment ContaminationPseudomonas aeruginosaClinical AuditCohort StudiesCross InfectionDisease OutbreaksHand DisinfectionHematologyHumansMolecular EpidemiologyPopulation SurveillancePseudomonas InfectionsRetrospective StudiesSoapsTriclosanDisinfectantsSoapsTriclosan

Identifiers

PMID21359222
PMCPMC3040201
OpenAlexW1990693486

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.