The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit

I. Wolf; P.W.M. Bergervoet; F.W. Sebens; H.L.A. van den Oever; P.H.M. Savelkoul; W.C. van der Zwet

doi:10.1016/j.jhin.2014.02.013

The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit

I. Wolf^*, P.W.M. Bergervoet, F.W. Sebens, H.L.A. van den Oever, P.H.M. Savelkoul, W.C. van der Zwet

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Between December 2010 and April 2012, intensive care unit (ICU) patients in our hospital were infrequently colonized with extended-spectrum beta-lactamase-positive bacteria (ESBLs). We hypothesized that these ESBLs originated from patients' room sinks, and this was prospectively investigated by weekly culturing of patients and sinks during a 20-week period. ESBLs were isolated from all 13 sinks. Four patients became colonized with ESBLs that were genetically identical to ESBLs that had previously been isolated from the sink. One of these patients died of pneumonia caused by the ESBL. Transmission from sinks to patients was stopped by integrating self-disinfecting siphons to all sinks on the ICU. (C) 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Original language	English
Pages (from-to)	126-130
Journal	Journal of Hospital Infection
Volume	87
Issue number	2
DOIs	https://doi.org/10.1016/j.jhin.2014.02.013
Publication status	Published - 1 Jan 2014

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10.1016/j.jhin.2014.02.013

Cite this

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title = "The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit",

abstract = "Between December 2010 and April 2012, intensive care unit (ICU) patients in our hospital were infrequently colonized with extended-spectrum beta-lactamase-positive bacteria (ESBLs). We hypothesized that these ESBLs originated from patients' room sinks, and this was prospectively investigated by weekly culturing of patients and sinks during a 20-week period. ESBLs were isolated from all 13 sinks. Four patients became colonized with ESBLs that were genetically identical to ESBLs that had previously been isolated from the sink. One of these patients died of pneumonia caused by the ESBL. Transmission from sinks to patients was stopped by integrating self-disinfecting siphons to all sinks on the ICU. (C) 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.",

author = "I. Wolf and P.W.M. Bergervoet and F.W. Sebens and {van den Oever}, H.L.A. and P.H.M. Savelkoul and {van der Zwet}, W.C.",

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T1 - The sink as a correctable source of extended-spectrum β-lactamase contamination for patients in the intensive care unit

AU - Wolf, I.

AU - Bergervoet, P.W.M.

AU - Sebens, F.W.

AU - van den Oever, H.L.A.

AU - Savelkoul, P.H.M.

AU - van der Zwet, W.C.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Between December 2010 and April 2012, intensive care unit (ICU) patients in our hospital were infrequently colonized with extended-spectrum beta-lactamase-positive bacteria (ESBLs). We hypothesized that these ESBLs originated from patients' room sinks, and this was prospectively investigated by weekly culturing of patients and sinks during a 20-week period. ESBLs were isolated from all 13 sinks. Four patients became colonized with ESBLs that were genetically identical to ESBLs that had previously been isolated from the sink. One of these patients died of pneumonia caused by the ESBL. Transmission from sinks to patients was stopped by integrating self-disinfecting siphons to all sinks on the ICU. (C) 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

AB - Between December 2010 and April 2012, intensive care unit (ICU) patients in our hospital were infrequently colonized with extended-spectrum beta-lactamase-positive bacteria (ESBLs). We hypothesized that these ESBLs originated from patients' room sinks, and this was prospectively investigated by weekly culturing of patients and sinks during a 20-week period. ESBLs were isolated from all 13 sinks. Four patients became colonized with ESBLs that were genetically identical to ESBLs that had previously been isolated from the sink. One of these patients died of pneumonia caused by the ESBL. Transmission from sinks to patients was stopped by integrating self-disinfecting siphons to all sinks on the ICU. (C) 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

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DO - 10.1016/j.jhin.2014.02.013

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