An outbreak of Pseudomonas aeruginosa infection associated with contaminated urodynamic equipment.
Seven patients developed Pseudomonas aeruginosa urinary tract infections following urodynamic studies, over a two-month period. One patient developed septicaemia and meningitis and died following rupture of a berry aneurysm. Two others required hospital admission for intravenous antibiotic treatment. Pseudomonas aeruginosa was isolated from a pressure dome which covered the pressure transducer of the urodynamic system used for assessing bladder pressure. The device packaging carried the symbol designating this as a 'single use' product, but as an economy measure, a local decision had been taken to change the device monthly.
Yardy
G W
GW
Department of Urology, Kettering General Hospital, Kettering, Northants, NN16 8UZ, UK.
Cox
R A
RA
D003428:Cross Infection / Q000209:etiology*; D004196:Disease Outbreaks / Q000517:prevention & control / Q000706:statistics & numerical data; D004866:Equipment Contamination / Q000517:prevention & control / Q000706:statistics & numerical data; D004867:Equipment Design; D017809:Fatal Outcome; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000209:etiology*; D011550:Pseudomonas aeruginosa; D014160:Transducers, Pressure / Q000009:adverse effects* / Q000382:microbiology*; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D014552:Urinary Tract Infections / Q000209:etiology*; D014563:Urodynamics