Antimicrobial Resistance and Infection Control (Apr 2024)

Pseudomonas fluorescens CRBSI outbreak: complying with the standardization of invasive procedures is a step ahead in the fight against antimicrobial resistance

  • Patricia Volkow,
  • Tania Guadalupe Chávez-Chávez,
  • Bertha García-Pineda,
  • Consuelo Velázquez-Acosta,
  • Daniel Carpio-Guadarrama,
  • Diana Vilar-Compte,
  • Cyntia Ibanes-Gutiérrez

DOI
https://doi.org/10.1186/s13756-024-01390-9
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 5

Abstract

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Abstract In the healthcare sector, the implementation of standardized procedures, such as those commonly employed in franchises to ensure consistent quality, remains underprioritized. Within this framework, we focus on the importance of standardized central venous catheter (CVC) insertion procedures to prevent healthcare-associated outbreaks. While antimicrobial resistance (AMR) may still not be the most prevalent problem in some institutions, its increasing significance certainly underlines the urgency of infection prevention. We aim to highlight this issue by describing and discussing an outbreak scenario of carbapenem-resistant (CR) Pseudomonas fluorescens bloodstream infections resulting from a deviation from the standardized CVC insertion procedure. This outbreak led to six episodes of catheter related bloodstream infection (CRBSI) in patients with hematologic malignancies, delaying their primary treatment. Nineteen patients were exposed, leading to an attack rate of 31.6%.

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