Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit

Objective: to study the regularities of circulation of epidemic Pseudomonas aeruginosa strains in the intensive care unit and to formulate main prophylactic measures against pseudomonas infections. Materials and methods: A prospective epi-demiological observation was made with daily microbiological...

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Main Author: O. N. Yegorova
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2010-10-01
Series:Общая реаниматология
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Online Access:https://www.reanimatology.com/rmt/article/view/392
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author O. N. Yegorova
author_facet O. N. Yegorova
author_sort O. N. Yegorova
collection DOAJ
description Objective: to study the regularities of circulation of epidemic Pseudomonas aeruginosa strains in the intensive care unit and to formulate main prophylactic measures against pseudomonas infections. Materials and methods: A prospective epi-demiological observation was made with daily microbiological monitoring of major loci in patients and environmental objects in the intensive care unit for 244 days. A total of 1314 clinical material samples from 888 patients and 488 washes from hospital environmental objects were studied and 211 P.aeruginosa strains were identified by microbiological, serological, and molecular genetic studies. Results. Intensive circulation of epidemic Pseudomonas aeruginosa strains of predominantly O12 serogroup was found in the intensive care unit. The main sources of infection were patients and moist hospital environmental objects; the most important transmission routes are the hands of medical staff and anesthetic respiratory equipment. There was a predominant lesion in the respiratory tract: the incidence of pseudomonas infection was 3.5 times greater than that in the patients on mechanical ventilation equipment. The basic prophylactic measures in the intensive care unit, which are aimed at eliminating P.aeruginosa, should involve daily observation of necessary sanitary-hygienic and antiepidemic rules and organization of care for patients. Conclusion. Prophylactic and antiepidemic measures at hospital should be based on the results of circulating microflora monitoring.
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spelling doaj-art-cbf950d0418c4725bbdc8d1a763f221f2025-08-20T03:18:50ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102010-10-016510.15360/1813-9779-2010-5-51392Pseudomonas aeruginosa-induced Infections in the Intensive Care UnitO. N. YegorovaObjective: to study the regularities of circulation of epidemic Pseudomonas aeruginosa strains in the intensive care unit and to formulate main prophylactic measures against pseudomonas infections. Materials and methods: A prospective epi-demiological observation was made with daily microbiological monitoring of major loci in patients and environmental objects in the intensive care unit for 244 days. A total of 1314 clinical material samples from 888 patients and 488 washes from hospital environmental objects were studied and 211 P.aeruginosa strains were identified by microbiological, serological, and molecular genetic studies. Results. Intensive circulation of epidemic Pseudomonas aeruginosa strains of predominantly O12 serogroup was found in the intensive care unit. The main sources of infection were patients and moist hospital environmental objects; the most important transmission routes are the hands of medical staff and anesthetic respiratory equipment. There was a predominant lesion in the respiratory tract: the incidence of pseudomonas infection was 3.5 times greater than that in the patients on mechanical ventilation equipment. The basic prophylactic measures in the intensive care unit, which are aimed at eliminating P.aeruginosa, should involve daily observation of necessary sanitary-hygienic and antiepidemic rules and organization of care for patients. Conclusion. Prophylactic and antiepidemic measures at hospital should be based on the results of circulating microflora monitoring.https://www.reanimatology.com/rmt/article/view/392nosocomial infectionsp.aeruginosaintensive care unitprophylaxis.
spellingShingle O. N. Yegorova
Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit
Общая реаниматология
nosocomial infections
p.aeruginosa
intensive care unit
prophylaxis.
title Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit
title_full Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit
title_fullStr Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit
title_full_unstemmed Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit
title_short Pseudomonas aeruginosa-induced Infections in the Intensive Care Unit
title_sort pseudomonas aeruginosa induced infections in the intensive care unit
topic nosocomial infections
p.aeruginosa
intensive care unit
prophylaxis.
url https://www.reanimatology.com/rmt/article/view/392
work_keys_str_mv AT onyegorova pseudomonasaeruginosainducedinfectionsintheintensivecareunit