Accès ouvert déclaré
2021
article
A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit
Anne-Sophie Domelier-Valentin, Sandra Dos Santos, Florent Goube, Rémi Gimenes, Marie Decalonne, Laurent Méreghetti, Côme Daniau, Nathalie van der Mee-Marquet, H. Abdoush, S. Alfandari, Alexandra Allaire, Luigi Aloe, A.B. García Andreo, E Antoine, C. Aurel, A. Azaouzi, V. Barry-Perdereau, Y. Berrouane, Solange Blaise, Mathilde Blanié, S. Bonjean, Guy-Claude Borderan, M. Bounoua, C. Bourigault, V. Brean, A. Cecille, Hiba Chakaroun, O. Chanay, Carl Chauvin, V. Curnier, H. Dalmas, Dominique Degallaix, F. Del Guidice, Joël Delhomme, Maryvonne Demasure, Christine St. Denis, Frédérique Diaw, S. Dorel, A. Fourneret-Vivier, B. Fradin, A Fribourg, B. Fumery, S. Gallais, L. Gazagne, J.P. Genillon, Colette Gerbier, Audrey Glanard, C. Gouin, F. Gourmelen, Catherine Haond, C. Huart, Nadia Idri, P. Ionescu, Sylvie Joron, Esther Joseph, V. Labonne, B. Laurent, Matthieu Coq, Marion Lecuru, Arnaud Legrand, O. Lehiani, M. Lepainteur, Claire Lesteven, Mathieu Llorens, Nathalie Lugagne, M. Magneney, Abakar Mahamat, Véronique Marie, K. Mattioli, M. Mesnil, S. Mien, Virginie Morange, Nadine Negrin, C. Neulier, Jérôme Ory, Souad Ouzani, A Moreno Pérez, F. Pospisil, T. Sevin, Aurélie Thomas-hervieu, Ana M. Valdes, C. Victoire, B. Vidal-Hollaender, P. Veyres, O. Zamfir, Nadia Anguel, Philippe Aussant, C. Badetti, Florent Bavozet, J. Bayekula, Sandrine Bedon-Carte, J. P. Bédos, Marc Berthon, Pierre-Jean Bertrand, Élodie Brunel, C. Burel, Charles Cerf, Riad Chelha, Danièle Combaux, D. Da Silva, Charles Damoisel, S. de Rudnicki, Jean-Christophe Debost, Luc Desfrère, M. Della-Guardia, Eric Dieye, Nathanaël Eisenmann, F. Ethuin, Leslie Favier, Samuel Fedun, Martin Feller, Leonila Ferreira, Pierre Fillâtre, X. Galin, Denis Garot, J. Gaubert Duclos, Sébastien Gette, H. Georges, Frédéric Godde, M. Hamet, Michel Hira, J.érome Hoff, Hervé Hyvernat, Julien Illinger, Loriane Jacques, Lynette Joubert, Michel Kaidomar, Pierre Kalfon, Hela Kallel, P Lafforgue, Fabien Lambiotte, Antoine Landivier, Thierry Lazard, F. Le Gall, Willy-Serge Mfam, J. Mariot, Antonio Martín, Olivier Martinet, P Michaux, Olga Rocío Manzo Palomera y Angel Alfredo Sanchez Michel., Ali Mofredj, Florent Montini, Laura Müller, C Pommier, J.C. Pottie, Florian Prevost, Claire Roger, C. Samat, Laurent Serpin, Shidasp Siami, S. Sidki Alaoui, A. Simaillaud, Pierre-Yvan Simonoviez, Hakima Slimani, J.M. Thouret, D Toledano, Brendan Travert, P. Trouiller, G. Trouillet, C. Vescovali, A. Adochitei, Marlène Amara, Simon Arsène, Marie-Nadège Bachelier, A. Barrans, Olivier Belmonte, Shuker Yahia, T. Bensaid, G. Beretta-Salaun, Dominique Bertei, J. Bizet, SC. Bleunven, F. Bonfils, Richard Bonnet, P. Brisou, P. Cantet, C. Cattoën, C. Chaplain, B. Cordoleani, Ashley M. Dao, Elodie Dorangeon, Clarisse Dupin, E. Farfour, C. J. Farrugia, M. Fines, Sébastien Fougnot, Pauline Garnier, M. Guerin, Christelle Guillet-Caruba, Jérôme Guinard, Alain Goux, Samia Hammami, Emmanuelle Heusse, B́eate Heym, C. Hombrouck Alet, Patrick Jacquemin, Claus Jensen, M Lacomme, E. Lafay, F. Lance, C. Lanselle, Jean‐Philippe Lavigne, Florence Le Gallou, S Lechat, Olivier Lemenand, S. Léotard, Marion Levast, Guillaume Louis, J. Lourtet, N. Luizy, L. Mignot, Olivier Moquet, J.C. Navarrot, M. Pancher Lory, Laurence Parmeland, Pierre Patoz, S. Poussing, C. Ragot, Laurent Roudière, Raymond Ruimy, V. Sainte Rose, R. Sanchez, H. Seraphin, Marie-Laure Vanson
34Citations signalées — pas une note de qualité
5Institutions déclarées
1Pays d’affiliation déclarés
Résumé fourni par la source
OBJECTIVES: The aim was to assess the incidence of sink contamination by multidrug-resistant (MDR) Pseudomonas aeruginosa and Enterobacteriaceae, risk factors for sink contamination and splashing, and their association with clinical infections in the intensive care setting. METHODS: A prospective French multicentre study (1 January to 30 May 2020) including in each intensive care unit (ICU) a point-prevalence study of sink contamination, a questionnaire of risk factors for sink contamination (sink use, disinfection procedure) and splashing (visible plashes, distance and barrier between sink and bed), and a 3-month prospective infection survey. RESULTS: Seventy-three ICUs participated in the study. In total, 50.9% (606/1191) of the sinks were contaminated by MDR bacteria: 41.0% (110/268) of the sinks used only for handwashing, 55.3% (510/923) of those used for waste disposal, 23.0% (62/269) of sinks daily bleached, 59.1% (126/213) of those daily exposed to quaternary ammonium compounds (QACs) and 62.0% (285/460) of those untreated; 459 sinks (38.5%) showed visible splashes and 30.5% (363/1191) were close to the bed (<2 m) with no barrier around the sink. MDR-associated bloodstream infection incidence rates ≥0.70/1000 patient days were associated with ICUs meeting three or four of these conditions, i.e. a sink contamination rate ≥51%, prevalence of sinks with visible splashes ≥14%, prevalence of sinks close to the patient's bed ≥21% and no daily bleach disinfection (6/30 (20.0%) of the ICUs with none, one or two factors vs. 14/28 (50.0%) of the ICUs with three or four factors; p 0.016). DISCUSSION: Our data showed frequent and multifactorial infectious risks associated with contaminated sinks in ICUs.
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Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit
- Date Crossref
- 01/09/2021
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Nosocomial Infections in ICUMedical Device Sterilization and DisinfectionAntibiotic Resistance in Bacteria