Evidence map›Paper›PMID 25285264›Full record

ArticleGMS hygiene and infection control2014

Successful implementation of infection control strategies prevents P. aeruginosa transmission among cystic fibrosis patients inside the hospital.

Benedikt Matt, Dieter Mitteregger, Sabine Renner, Elisabeth Presterl, Ojan Assadian, Magda Diab-Elschahawi

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Article in GMS hygiene and infection control, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Benedikt MattDepartment for Hospital Hygiene and Infecion Control, Medical University of Vienna, Vienna General Hospital, Wien, Austria.
Dieter MittereggerClinical Department for Clinical Microbiology, Medical University of Vienna, Vienna General Hospital, Wien, Austria.
Sabine RennerDepartment of Paediatrics and Adolescent Medicine, Medical University of Vienna, Vienna General Hospital, Wien, Austria.
Elisabeth PresterlDepartment for Hospital Hygiene and Infecion Control, Medical University of Vienna, Vienna General Hospital, Wien, Austria.
Ojan AssadianDepartment for Hospital Hygiene and Infecion Control, Medical University of Vienna, Vienna General Hospital, Wien, Austria.
Magda Diab-ElschahawiDepartment for Hospital Hygiene and Infecion Control, Medical University of Vienna, Vienna General Hospital, Wien, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to characterise the epidemiology of P. aeruginosa isolated from cystic fibrosis (CF) patients at the Vienna General Hospital (VGH) by molecular genetic fingerprinting in order to understand transmission ways and to evaluate the established infection control protocols.

methodsThe outpatient clinic for CF patients at the VGH cares for children and adolescents up to the age of 18 years. Among an average of 139 patients cared for at the clinic, 41 were tested positive for P. aeruginosa during the study period. Fifty P. aeruginosa isolates, obtained between August 2010 and March 2012 from routine examinations of CF patients, were subject to molecular characterization using the DiversiLab(®) method.

results42 distinguishable molecular-biological patterns were identified, 7 of which were found multiple times. 40 out of 42 genotypes were retrieved from single patients only, while two patterns were present in two patients each. Nine patients presented with two or more phenotypically diverse P. aeruginosa isolates. In five of these cases the retrieved isolates belonged to the same genotype.

conclusionThe broad genetic heterogeneity of P. aeruginosa in the studied patient population suggests that the majority of CF patients cared for at the VGH acquire P. aeruginosa from environmental sources. It may be concluded that implemented infection control guidelines have been successful in preventing nosocomial transmission of P. aeruginosa among CF patients within the VGH and patient-to-patient transmission outside the hospital. Chronic polyclonal infection/colonization was rare in the study population.

Indexed as

cystic fibrosishospital hygienePseudomonas aeruginosarepetitive sequence-based PCR

Identifiers

PMID25285264
PMCPMC4184043

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