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• W2038186863 abstract "We had for aim to describe the identification and management of a 14-clonal carbapenem-resistant Acinetobacter baumannii (CRAB) outbreak, following admission of a known CRAB-infected patient in an ICU. We reviewed the carriers’ files and outbreak management procedures. The index patient was admitted with strict isolation precautions. The outbreak started 2 months after his discharge. It persisted despite reinforcement of strict isolation precautions, staff and patient cohorting, and extensive environmental decontamination including 2 rounds of routine terminal cleaning and disinfection or 1 round of cleaning and disinfection followed by hydrogen peroxide treatment. A second epidemic peak, after 4 weeks without any case, led to another wide environmental sampling and decontamination rounds. The source of the CRAB outbreak was suspected to be the blood pressure cuffs Velcro. Switching to cuffs submersible in a disinfectant stopped the outbreak. CRAB outbreaks are difficult to manage and sources of persistent colonization can be unexpected. Décrire la reconnaissance et la prise en charge d’une épidémie clonale de 14 cas d’Acinetobacter baumannii résistant à l’imipénème (ABRI) après admission d’un patient porteur d’une pneumonie à ABRI en réanimation. Revue des dossiers des porteurs et des mesures de contrôle. Le cas index avait été placé en précautions complémentaires dès l’entrée. L’épidémie a débuté 2 mois après sa sortie. Elle a persisté malgré le cohorting du personnel, dépistage des contacts, bionettoyage par détergent désinfectant, puis aérosols de peroxyde d’hydrogène, et audit extérieur. Un second pic épidémique après 4 semaines sans cas a fait renouveler les prélèvements environnementaux et un bionettoyage du service. De l’ABRI a été retrouvé uniquement sur le Velcro de 2 tensiomètres. Le service a changé de modèle pour utiliser des modèles entièrement immergeables dans une solution désinfectante, sans nouveau cas identifié depuis. Les épidémies à ABRI sont difficiles à éradiquer." @default.
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• W2038186863 date "2014-05-01" @default.
• W2038186863 modified "2023-10-18" @default.
• W2038186863 title "Management and control of a carbapenem-resistant Acinetobacter baumannii outbreak in an intensive care unit" @default.
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• W2038186863 doi "https://doi.org/10.1016/j.medmal.2014.03.005" @default.
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