Original articleContamination of the environment of spinal cord injured patients by organisms causing urinary-tract infection
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Journal of Hospital Infection
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Prevention of urinary tract infections by antibiotic cycling in spinal cord injury patients and low emergence of multidrug resistant bacteria
2016, Medecine et Maladies InfectieusesCitation Excerpt :They are also less frequently hospitalized than untreated patients (0.16 vs. 5.4 hospital days/year, respectively, P < 0.001). Finally, most infections in SCI patients originate from strains of their immediate environment [23,24]. Few patients were colonized with MDRB at inclusion [3].
Risk of organism acquisition from prior room occupants: A systematic review and meta-analysis
2015, Journal of Hospital InfectionCitation Excerpt :This area requires further research and exploration. Cross-transmission of pathogens may also occur via the hands of healthcare workers, clothing, and shared equipment.33–36 In addition to those already employed, we need to consider the use of advanced cleaning technologies and concurrent interventions involving the patient.37
ESCMID guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant Gram-negative bacteria in hospitalized patients
2014, Clinical Microbiology and InfectionCitation Excerpt :Environmental screening has recovered GNB from a variety of hospital surfaces. GNB have also been identified on general surfaces such as floors, shelves and ledges; curtains, linen, towels and clothes; mattresses and beds; furniture; computers, telephones and all items of clinical equipment [161,166–169]. Some pathogens, notably Pseudomonas spp., can survive well in damp places such as sinks, showers and baths.
Cleaning and decontamination of the healthcare environment
2013, Decontamination in Hospitals and HealthcareHand hygiene in physiotherapists: prevention of nosocomial infections
2009, FisioterapiaAntimicrobial resistance in gram-negative bacteria isolated from the urinary tract in community-residing persons with spinal cord injury
2000, Archives of Physical Medicine and RehabilitationCitation Excerpt :Amikacin and tobramycin had as good or better activities than beta lactams, but no single agent was active against every isolate of P aeruginosa. Bacterial colonization of the urinary tract in persons with SCI typically occurs when diverse gram-negative bacteria from bowel, perineum, and urethra gain access to the bladder, aided by instruments, contamination from environmental sources, or inadvertent cross-contamination from other patients by caregivers.1,2,11-16 It is a very common occurrence for men and women with SCI to develop a commensal microorganism relationship in which high levels of bacteriuria can be maintained for long periods in the absence of acute inflammation or clinical manifestations.