Prevention and control of carbapenemase-producing organisms at a regional burns centre.
In many parts of the world, carbapenemase-producing organisms (CPOs) are endemic. The transfer of medical patients from such countries to the UK requires us to have control systems in place to avoid onward transmission. This report describes the experience of a regional burns centre challenged by its first four cases of CPO in two separate incidents. Key learning from our experience was the importance of CPOs being considered in empirical antibiotics for any patient from an endemic area. Using contact plates, we demonstrated high bacterial counts after cleaning and we describe a terminal cleaning strategy along with the importance of continuing staff engagement and education.
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK. Electronic address: louise.teare@meht.nhs.uk.
L
L
Teare
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
J
J
Myers
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
A
A
Kirkham
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
T
T
Tredoux
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
R
R
Martin
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
S
S
Boasman
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
A
A
Wisbey
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
C
C
Charlton
St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, UK.
P
P
Dziewulski
D001426:Bacterial Proteins / Q000378:metabolism*; D002053:Burn Units; D002056:Burns / Q000150:complications*; D003428:Cross Infection / Q000175:diagnosis / Q000382:microbiology / Q000517:prevention & control* / Q000635:transmission; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D004783:Environmental Microbiology; D006090:Gram-Negative Bacteria / Q000201:enzymology* / Q000302:isolation & purification; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000382:microbiology / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D017053:Infection Control / Q000379:methods*; D006113:United Kingdom; D001618:beta-Lactamases / Q000378:metabolism*
D001426:Bacterial Proteins; D001618:beta-Lactamases; C063912:carbapenemase
Burns; Carbapenemase-producing organisms