title: Outbreak of multidrug-resistant Pseudomonas aeruginosa infection following urodynamic studies traced to contaminated transducer.
abstract: We report a nosocomial outbreak of urinary tract infection by extremely drug resistant Pseudomonas aeruginosa, susceptible only to colistin. Infection in three patients followed urodynamic studies. Two of the three patients were children, one of whom also developed urosepsis. The investigation led to detection of contaminated pressure transducers. Genotyping confirmed that patient and transducer isolates were identical. These transducers were not labelled as 'single use only' despite the possibility that contaminated urine may reflux and mix with the fluid in the device. The issue of re-usable versus single-use urodynamic devices is discussed.
authors: Division of Epidemiology and Preventive Medicine, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. yoji@netvision.net.il
authors: E
authors: E
authors: Bilavsky
authors: I
authors: I
authors: Pfeffer
authors: J
authors: J
authors: Tarabeia
authors: V
authors: V
authors: Schechner
authors: J
authors: J
authors: Abu-Hanna
authors: G
authors: G
authors: Grisaru-Soen
authors: D
authors: D
authors: Schwartz
authors: S
authors: S
authors: Navon-Venezia
authors: Y
authors: Y
authors: Carmeli
mesh_terms: D000368:Aged; D002648:Child; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial; D004864:Equipment and Supplies / Q000382:microbiology*; D005838:Genotype; D006801:Humans; D008297:Male; D058889:Molecular Typing; D011552:Pseudomonas Infections / Q000453:epidemiology* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000145:classification / Q000187:drug effects* / Q000235:genetics / Q000302:isolation & purification; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000382:microbiology