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Three-Year Follow-up of an Outbreak of Serratia marcescens Bacteriuria in a Neurosurgical Intensive Care Unit

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Author(s)
Baek-Nam KimSoon-Im ChoiNam-Hee Ryoo
Keimyung Author(s)
Ryoo, Nam Hee
Department
Dept. of Laboratory Medicine (진단검사의학)
Journal Title
Journal of Korean Medical Science
Issued Date
2006
Volume
21
Issue
6
Keyword
Serratia marcescensBacteriuriaDisease OutbreaksInfection Control
Abstract
We report on the investigations and interventions conducted to contain an extended
outbreak of Serratia marcescens bacteriuria that lasted for years in a neurosurgical
intensive care unit (NSICU). A case-control study was performed to identify
the risk factors for S. marcescens acquisition in urine. In case patients, urine sampling
for tests and central venous catheterization were performed more frequently
before the isolation of S. marcescens. Case patients were more frequently prescribed
third-generation cephalosporins. Adherence to hand antisepsis was encouraged
through in-service educational meetings and infection control measures, especially
concerning the manipulation of indwelling urinary catheters, were intensified. The
outbreak persisted despite the reinforcement of infection control measures. However,
no patient has newly acquired the organism in the NSICU since December
2004. Multiple factors, including inadequate infection control practices and inappropriate
antimicrobial usage, possibly contributed to the persistence of this S. marcescens
outbreak. Healthcare workers should consistently follow infection control
policies to ensure quality care.
Keimyung Author(s)(Kor)
류남희
Publisher
School of Medicine
Citation
Baek-Nam Kim et al. (2006). Three-Year Follow-up of an Outbreak of Serratia marcescens Bacteriuria in a Neurosurgical Intensive Care Unit. Journal of Korean Medical Science, 21(6), 973–978. doi: 10.3346/jkms.2006.21.6.973
Type
Article
ISSN
1011-8934
DOI
10.3346/jkms.2006.21.6.973
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34132
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학)
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