Pseudomonas aeruginosa infections due to electronic faucets in a neonatal intensive care unit |
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Authors: | Yapicioglu Hacer Gokmen Tulin Guven Yildizdas Dincer Koksal Fatih Ozlu Ferda Kale-Cekinmez Eren Mert Kurthan Mutlu Birgul Satar Mehmet Narli Nejat Candevir Aslihan |
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Institution: | Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Cukurova University, Faculty of Medicine, Adana, Turkey. hyapicioglu@cu.edu.tr |
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Abstract: | Aim: To evaluate the role of electronic faucets in a newborn intensive care unit during a Pseudomonas aeruginosa outbreak. Methods: After three patients had P. aeruginosa bacteremia, environmental cultures including those from patient rooms, incubator, ventilators, total parenteral nutrition solutions, disinfection solutions, electronic and hand‐operated faucet filters/water samples after removing filters and staff hands were taken. Results: Only filters of electronic faucets and water samples after removing filters and one liquid hand soap showed P. aeruginosa (3–7 × 106 cfu/mL). We have removed the electronic faucets and new elbow‐operated faucets were installed. Pulsed‐field gel electrophoresis analysis of outbreak‐blood culture isolates from two patients and isolates from electronic water faucets/one liquid hand soap indicated the presence of 90.7% genetically related subtype, probably from the same clone. Water cultures from new faucets were all clean after installation and after 7 months. Conclusion: We suggest that electronic faucets may be considered a potential risk for P. aeruginosa in hospitals, especially in high‐risk units. |
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Keywords: | electronic faucet newborn P aeruginosa infection |
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