A five-component infection control bundle to permanently eliminate a carbapenem-resistant Acinetobacter baumannii spreading in an intensive care unit.

ABSTRACT:

Background

Carbapenem-resistant Acinetobacter baumannii (CRAB) infection outbreaks are difficult to control and sometimes require cohorting of CRAB-positive patients or temporary ward closure for environmental cleaning. We aimed at controlling the deadly 2018 CRAB outbreak in a 12 bed- intensive care unit (ICU) including 9 beds in a 220 m² open space. We implemented a new multimodal approach without ward closure, cohorting or temporarily limiting admissions.

Methods

A five-component bundle was introduced in 2018 including reinforcement of hand hygiene and sample extension of screening, application of contact precautions to all patients, enhanced environmental sampling and the one-time application of a cycling radical environmental cleaning and disinfection procedu

SUBMITTER: Meschiari M 

PROVIDER: S-EPMC8376111 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature