Three-year follow-up of an outbreak of Serratia marcescens bacteriuria in a neurosurgical intensive care unit

Kim, Baek-Nam (2006) Three-year follow-up of an outbreak of Serratia marcescens bacteriuria in a neurosurgical intensive care unit. Journal of Korean Medical Science, 21 6: 973-978.

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Author Kim, Baek-Nam
Title Three-year follow-up of an outbreak of Serratia marcescens bacteriuria in a neurosurgical intensive care unit
Journal name Journal of Korean Medical Science   Check publisher's open access policy
ISSN 1011-8934
Publication date 2006-12
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 21
Issue 6
Start page 973
End page 978
Total pages 6
Place of publication Seoul
Publisher Korean Academy of Medical Science
Language eng
Subject 110309 Infectious Diseases
Abstract We report on the investigations and interventions conducted to contain an extended outbreak of Serratia marcescens bacteriuria that lasted for years in a neurosurgical intensive care unit (NSICU). A case-control study was performed to identify the risk factors for S. marcescens acquisition in urine. In case patients, urine sampling for tests and central venous catheterization were performed more frequently before the isolation of S. marcescens. Case patients were more frequently prescribed third-generation cephalosporins. Adherence to hand antisepsis was encouraged through in-service educational meetings and infection control measures, especially concerning the manipulation of indwelling urinary catheters, were intensified. The outbreak persisted despite the reinforcement of infection control measures. However, no patient has newly acquired the organism in the NSICU since December 2004. Multiple factors, including inadequate infection control practices and inappropriate antimicrobial usage, possibly contributed to the persistence of this S. marcescens outbreak. Healthcare workers should consistently follow infection control policies to ensure quality care. ┬ęCopyrights 2009. The Korean Academy of Medical Sciences. All Rights Reserved.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Thu, 09 Apr 2009, 10:15:16 EST by Maryanne Watson on behalf of Anaesthesiology and Critical Care - RBWH