[Nosocomial respiratory infection due to an imipenem-resistant Pseudomonas aeruginosa O: 12 strain in a Tunis's neonatal intensive care unit]

Pathol Biol (Paris). 2006 Dec;54(10):596-9. doi: 10.1016/j.patbio.2006.07.032. Epub 2006 Oct 5.
[Article in French]

Abstract

Objective: Investigation of an outbreak caused by an imipenem-resistant Pseudomonas aeruginosa strain and research of its hospital reservoir.

Patients and methods: Nine strains isolated from protected tracheal specimens during 14 weeks (October 2004 to January 2005) from 8 infants, and one strain from vacuum interrupter were studied. Epidemiological study was investigated by determination of antibiotics susceptibility, serotyping and Pulsed-field gel electrophoresis (PFGE).

Results: Strains were of O:12 serotype, they have the same antibiotype characterised by imipenem resistance. Strains were indistinguishable or closely related as determined by PFGE. The common source of P. aeruginosa O:12 strains was not determined, however eradication of the epidemic strain was obtained by amelioration of hygiene conditions and the change of disinfectors.

Conclusion: Outbreak of respiratory infections due to an imipenem-resistant P. aeruginosa O:12. The common source of the epidemic strain was not determined.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Cross Infection / epidemiology*
  • Cross Infection / microbiology
  • Drug Resistance, Bacterial
  • Humans
  • Imipenem / pharmacology*
  • Infant, Newborn
  • Intensive Care Units, Neonatal / statistics & numerical data*
  • Pseudomonas Infections / epidemiology*
  • Pseudomonas Infections / transmission
  • Pseudomonas aeruginosa* / drug effects
  • Tunisia

Substances

  • Anti-Bacterial Agents
  • Imipenem