Abstract
We report a multiresistant Enterobacter cloacae outbreak in an intensive care unit, associated with mattresses and with antibacterial-treated and vapour-permeable polyurethane synthetic mattress covers of therapeutic beds.
Highlights
We report an outbreak associated with recently developed therapeutic beds in an intensive care unit in which there appeared to be satisfactory nursing procedures and in which the mattress covers appeared to be visually intact
Between 1 February and 30 May 2005, a cluster of 15 patients infected/colonised (12 infected and three colonised) by a third-generation cephalosporin-resistant Enterobacter cloacae was observed in the surgery intensive care unit of the teaching hospital of Tours, France
A review of the procedures and techniques of the intensive care unit medical staff revealed a common factor among the infected/colonised patients: all patients had been nursed on therapeutic beds
Summary
Between 1 February and 30 May 2005, a cluster of 15 patients infected/colonised (12 infected and three colonised) by a third-generation cephalosporin-resistant Enterobacter cloacae was observed in the surgery intensive care unit of the teaching hospital of Tours, France. We report an outbreak associated with recently developed therapeutic beds in an intensive care unit in which there appeared to be satisfactory nursing procedures and in which the mattress covers appeared to be visually intact. Our observations allow us to propose additional measures to the recommended maintenance procedure to avoid this type of hospital infection.
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