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Medline ® Abstract for Reference 26

of 'Pseudomonas aeruginosa infections of the eye, ear, urinary tract, gastrointestinal tract, and central nervous system'

Outbreak of multidrug-resistant Pseudomonas aeruginosa infection following urodynamic studies traced to contaminated transducer.
Bilavsky E, Pfeffer I, Tarabeia J, Schechner V, Abu-Hanna J, Grisaru-Soen G, Schwartz D, Navon-Venezia S, Carmeli Y
J Hosp Infect. 2013 Apr;83(4):344-6. Epub 2013 Feb 16.
We report a nosocomial outbreak of urinary tract infection by extremely drug resistant Pseudomonas aeruginosa, susceptible only to colistin. Infection in three patients followed urodynamic studies. Two of the three patients were children, one of whom also developed urosepsis. The investigation led to detection of contaminated pressure transducers. Genotyping confirmed that patient and transducer isolates were identical. These transducers were not labelled as 'single use only' despite the possibility that contaminated urine may reflux and mix with the fluid in the device. The issue of re-usable versus single-use urodynamic devices is discussed.
Division of Epidemiology and Preventive Medicine, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. yoji@netvision.net.il