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A systematic review and meta-analysis of risk factors associated with acquisition of waterborne healthcare-associated infection or colonization in high-risk units

Published online by Cambridge University Press:  09 December 2019

Lina M. Parra Open the ORCID record for Lina M. Parra [Opens in a new window] ,
Mireia Cantero ,
Juliana Sierra ,
Ángel Asensio  and
Fernando J. García
Lina M. Parra*
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Mireia Cantero
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Juliana Sierra
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Ángel Asensio
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Fernando J. García
Affiliation:
National Epidemiology Centre, Carlos III Institute of Health, Madrid, Spain
*
Author for correspondence: Lina M. Parra, Email: [email protected]
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Abstract

In this meta-analysis, central venous catheter exposure (pooled odds ratio, 8.02; 95% confidence interval [CI], 2.19–29.31; P < .01) in neonates and length of stay (standardized mean difference, 0.65; 95% CI, 0.26–1.05; P = .01) in an adult population were associated with acquisition of waterborne healthcare-associated infections or colonization in ICUs. The quality of evidence was low.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 2 , February 2020 , pp. 222 - 225
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

Kanamori, H, Weber, DJ, Rutala, WA. Healthcare outbreaks associated with a water reservoir and infection prevention strategies. Clin Infect Dis 2016;62:1423–1435.10.1093/cid/ciw122CrossRefGoogle ScholarPubMed
Von Dolinger Brito, D, Matos, C, Abdalla, V, Filho, DA, Pinto, P. An outbreak of nosocomial infection caused by ESBLs producing Serratia marcescens in a Brazilian neonatal unit. Braz J Infect Dis 1999;3:149–155.Google Scholar
Maltezou, HC, Tryfinopoulou, K, Katerelos, P, et al.Consecutive Serratia marcescens multiclone outbreaks in a neonatal care unit. Am J Infect Control 2012;40:635–642.10.1016/j.ajic.2011.08.019CrossRefGoogle Scholar
Kinsey Bicking, C, Koirala, S, Solomon, B, et al.Pseudomonas aeruginosa outbreak in a neonatal intensive care unit attributed to hospital tap water. Infect Control Hosp Epidemiol 2017;38:801–808.10.1017/ice.2017.87CrossRefGoogle Scholar
Berthelot, P, Grattard, F, Mahul, P, et al.Prospective study of nosocomial colonization and Infection due to Pseudomonas aeruginosa in mechanically ventilated patients. Intens Care Med 2001;27:503–512.10.1007/s001340100870CrossRefGoogle ScholarPubMed
Reuter, S, Sigge, A, Wiedeck, H, Trautmann, M. Analysis of transmission pathways of Pseudomonas aeruginosa between patients and tap water outlets. Crit Care Med 2002;30:2222–2229.10.1097/00003246-200210000-00008CrossRefGoogle ScholarPubMed
Rogues, AM, Boulestreau, H, Lashéras, A, et al.Contribution of tap water to patient colonization with Pseudomonas aeruginosa in a medical intensive care unit. J Hosp Infect 2007;67:72–78.CrossRefGoogle Scholar
Venier, AG, Leroywe, C, Slekovec, C, et al.Risk factors for Pseudomonas aeruginosa acquisition in intensive care units: a prospective multicentre study. J Hosp Infect 2014;88:103–108.CrossRefGoogle ScholarPubMed
Zhou, Z, Hu, B, Gao, X, Bao, R, Chen, M, Li, H. Sources of sporadic Pseudomonas aeruginosa colonizations/infections in surgical ICUs: association with contaminated sink trap. J Infect Chemother 2016;22:450e–455e.10.1016/j.jiac.2016.03.016CrossRefGoogle ScholarPubMed
Dandalides, PC, Rutala, WA, Sarubbi, FA. Postoperative infections following cardiac surgery: association with an environmental reservoir in a cardiothoracic intensive care unit. Infect Control 1984;5:378–384.CrossRefGoogle Scholar
Salm, F, Deja, M, Gastmeier, P, et al.Prolonged outbreak of clonal MDR Pseudomonas aeruginosa on an intensive care unit: contaminated sinks and contaminated ultra-filtrate bags as possible route of transmission? Antimicrob Resist Infect Control 2016;5:53–60.10.1186/s13756-016-0157-9CrossRefGoogle ScholarPubMed
Roux, D, Aubier, B, Cochard, H, Quentin, R, van der Mee-Marquet, N. Contaminated sinks in intensive care units: an underestimated source of extended-spectrum beta-lactamase-producing-Enterobacteriaceae in the patient environment. J Hosp Infect 2013;85:106–111.10.1016/j.jhin.2013.07.006CrossRefGoogle ScholarPubMed
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