Investigation and control of an outbreak of suspected carbapenem-resistant Klebsiella pneumoniae nosocomial infection in ICU of a hospital

WANG Peng, XIE Hui, YANG Wenjuan, XU Wei

Anhui Journal of Preventive Medicine ›› 2023, Vol. 29 ›› Issue (5) : 389-393.

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Anhui Journal of Preventive Medicine ›› 2023, Vol. 29 ›› Issue (5) : 389-393. DOI: 10.19837/j.cnki.ahyf.2023.05.009
Original Articles

Investigation and control of an outbreak of suspected carbapenem-resistant Klebsiella pneumoniae nosocomial infection in ICU of a hospital

  • WANG Peng1, XIE Hui1, YANG Wenjuan1, XU Wei2
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Abstract

Objective To investigate and analyze the outbreak and control of suspected carbapenem-resistant Klebsiella pneumoniae (CRKP) hospital infection in the intensive care unit (ICU) of a hospital,and to provide reference for improving nosocomial infection control. Methods This study conducted an epidemiological investigation of CRKP patients in the ICU and carried out environmental hygiene inspections of the ICU ward.Then the corresponding measures were taken. Results The results showed that six out of eight patients detected with CRKP had consistent antibiotic resistance.All cases had overlapping hospitalization time and adjacent bed.The janitor for the six patients served as the same person in charge.The CRKP detected on the cleaner's hand,ventilator and monitoring instrument surfaces,and window rails were consistent with the drug sensitivity results of the six patients.After implementing measures such as increasing the frequency of environmental cleaning and disinfection,strengthening hand hygiene,and enhancing personnel management and hospital infection prevention and control training,the outbreak of hospital infection was effectively controlled. Conclusion The study concludes that the improper execution of hand hygiene by the cleaning staff and inadequate environmental cleaning and disinfection in the ward are the main reasons for the suspected CRKP hospital infection outbreak in the ICU.Timely judgment and cause investigation and the adoption of appropriate prevention and control strategies can effectively control hospital infection outbreaks.

Key words

Intensive care unit / Suspected outbreak of nosocomial infection / CRKP / Investigation

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WANG Peng, XIE Hui, YANG Wenjuan, XU Wei. Investigation and control of an outbreak of suspected carbapenem-resistant Klebsiella pneumoniae nosocomial infection in ICU of a hospital[J]. Anhui Journal of Preventive Medicine. 2023, 29(5): 389-393 https://doi.org/10.19837/j.cnki.ahyf.2023.05.009

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