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Recurrent central-line-associated bloodstream infection in a single high-risk patient.

Pek, Zachary; Canepa, Hannah; Gregg, Karen L; Cabunoc, Marie K; Leekha, Surbhi; Baghdadi, Jonathan D.

Infect Control Hosp Epidemiol ; 44(1): 166-168, 2023 01.

Article in English | MEDLINE | ID: mdl-35912686

Subject(s)

Bacteremia , Catheter-Related Infections , Catheterization, Central Venous , Central Venous Catheters , Cross Infection , Sepsis , Humans , Cross Infection/epidemiology

Rapid Spread and Control of Multidrug-Resistant Gram-Negative Bacteria in COVID-19 Patient Care Units.

Patel, Ashka; Emerick, Michele; Cabunoc, Marie K; Williams, Michelle H; Preas, Michael Anne; Schrank, Gregory; Rabinowitz, Ronald; Luethy, Paul; Johnson, J Kristie; Leekha, Surbhi.

Emerg Infect Dis ; 27(4): 1234-1237, 2021 04.

Article in English | MEDLINE | ID: mdl-33565961

ABSTRACT

We describe rapid spread of multidrug-resistant gram-negative bacteria among patients in dedicated coronavirus disease care units in a hospital in Maryland, USA, during May-June 2020. Critical illness, high antibiotic use, double occupancy of single rooms, and modified infection prevention practices were key contributing factors. Surveillance culturing aided in outbreak recognition and control.

Subject(s)

Anti-Bacterial Agents , COVID-19 , Critical Illness , Gram-Negative Bacteria , Infection Control , Practice Patterns, Nurses' , Superinfection , Anti-Bacterial Agents/classification , Anti-Bacterial Agents/therapeutic use , COVID-19/epidemiology , COVID-19/physiopathology , COVID-19/therapy , Critical Illness/epidemiology , Critical Illness/therapy , Drug Resistance, Multiple, Bacterial , Gram-Negative Bacteria/classification , Gram-Negative Bacteria/drug effects , Gram-Negative Bacteria/isolation & purification , Humans , Infection Control/methods , Infection Control/organization & administration , Intensive Care Units/organization & administration , Maryland/epidemiology , Microbiological Techniques/methods , Microbiological Techniques/statistics & numerical data , Practice Patterns, Nurses'/organization & administration , Practice Patterns, Nurses'/standards , Precipitating Factors , Risk Factors , SARS-CoV-2 , Superinfection/diagnosis , Superinfection/microbiology

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