title: Control of an ACC-1-producing Klebsiella pneumoniae outbreak in a physical medicine and rehabilitation unit.
abstract: This article describes an outbreak of ACC-1-producing Klebsiella pneumoniae involving 40 patients. These were mainly men under 40 years old with a spinal cord injury, in a physical medicine and rehabilitation unit. The main risk factors were prolonged hospital stay, multiple-bed rooms, tracheostomy care and assisted defaecation. The outbreak was only controlled after the introduction of rigorous patient placement (i.e. single rooms or cohorting in the same room), while allowing the patients to have free access to the various technical services (e.g. physiotherapy and occupational therapy) and living spaces necessary for re-education.
authors.affiliation: Laboratoire de microbiologie, Hôpital Raymond Poincaré, Assistance Publique - Hôpitaux de Paris, Garches, France.
authors.forename: S
authors.initials: S
authors.lastname: Ohana
authors.forename: P
authors.initials: P
authors.lastname: Denys
authors.forename: D
authors.initials: D
authors.lastname: Guillemot
authors.forename: S
authors.initials: S
authors.lastname: Lortat-Jacob
authors.forename: E
authors.initials: E
authors.lastname: Ronco
authors.forename: M
authors.initials: M
authors.lastname: Rottman
authors.forename: B
authors.initials: B
authors.lastname: Bussel
authors.forename: J-L
authors.initials: JL
authors.lastname: Gaillard
authors.forename: C
authors.initials: C
authors.lastname: Lawrence
mesh_terms: D000328:Adult; D000368:Aged; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods*; D007710:Klebsiella Infections / Q000453:epidemiology*; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000302:isolation & purification / Q000472:pathogenicity*; D008297:Male; D008875:Middle Aged; D012047:Rehabilitation Centers