1
|
Volkow P, Chávez-Chávez TG, García-Pineda B, Velázquez-Acosta C, Carpio-Guadarrama D, Vilar-Compte D, Ibanes-Gutiérrez C. Pseudomonas fluorescens CRBSI outbreak: complying with the standardization of invasive procedures is a step ahead in the fight against antimicrobial resistance. Antimicrob Resist Infect Control 2024; 13:40. [PMID: 38605403 PMCID: PMC11010412 DOI: 10.1186/s13756-024-01390-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 03/23/2024] [Indexed: 04/13/2024] Open
Abstract
In the healthcare sector, the implementation of standardized procedures, such as those commonly employed in franchises to ensure consistent quality, remains underprioritized. Within this framework, we focus on the importance of standardized central venous catheter (CVC) insertion procedures to prevent healthcare-associated outbreaks. While antimicrobial resistance (AMR) may still not be the most prevalent problem in some institutions, its increasing significance certainly underlines the urgency of infection prevention.We aim to highlight this issue by describing and discussing an outbreak scenario of carbapenem-resistant (CR) Pseudomonas fluorescens bloodstream infections resulting from a deviation from the standardized CVC insertion procedure. This outbreak led to six episodes of catheter related bloodstream infection (CRBSI) in patients with hematologic malignancies, delaying their primary treatment. Nineteen patients were exposed, leading to an attack rate of 31.6%.
Collapse
Affiliation(s)
- Patricia Volkow
- Department of Infectious Diseases, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico
| | - Tania Guadalupe Chávez-Chávez
- Infection Prevention and Control Team, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico
| | - Bertha García-Pineda
- Infection Prevention and Control Team, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico
| | - Consuelo Velázquez-Acosta
- Microbiology Laboratory, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico
| | - Daniel Carpio-Guadarrama
- Department of Infectious Diseases, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico
| | - Diana Vilar-Compte
- Department of Infectious Diseases, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico
| | - Cyntia Ibanes-Gutiérrez
- Department of Infectious Diseases, Instituto Nacional de Cancerología, Av. San Fernando No. 22, Col. Belisario Domínguez, Sección XVI, Tlalpan, Mexico City, 14080, Mexico.
| |
Collapse
|
2
|
Volkow P, Islas-Muñoz B, Carpio-Guadarrama D, Pérez-Padilla R. Exacerbation of Kaposi sarcoma after MVA-BN (Jynneos) vaccination in a person with HIV/AIDS. AIDS 2024; 38:129-130. [PMID: 38061024 DOI: 10.1097/qad.0000000000003717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
|