Hostname: page-component-669899f699-swprf Total loading time: 0 Render date: 2025-04-25T17:14:40.907Z Has data issue: false hasContentIssue false
  • English
  • Français

A systematic review and meta-analysis of risk factors associated with acquisition of waterborne healthcare-associated infection or colonization in high-risk units

Published online by Cambridge University Press:  09 December 2019

Lina M. Parra Open the ORCID record for Lina M. Parra [Opens in a new window] ,
Mireia Cantero ,
Juliana Sierra ,
Ángel Asensio  and
Fernando J. García
Lina M. Parra*
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Mireia Cantero
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Juliana Sierra
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Ángel Asensio
Affiliation:
Preventive Medicine Department, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain
Fernando J. García
Affiliation:
National Epidemiology Centre, Carlos III Institute of Health, Madrid, Spain
*
Author for correspondence: Lina M. Parra, Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

In this meta-analysis, central venous catheter exposure (pooled odds ratio, 8.02; 95% confidence interval [CI], 2.19–29.31; P < .01) in neonates and length of stay (standardized mean difference, 0.65; 95% CI, 0.26–1.05; P = .01) in an adult population were associated with acquisition of waterborne healthcare-associated infections or colonization in ICUs. The quality of evidence was low.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 2 , February 2020 , pp. 222 - 225
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Kanamori, H, Weber, DJ, Rutala, WA. Healthcare outbreaks associated with a water reservoir and infection prevention strategies. Clin Infect Dis 2016;62:1423–1435.10.1093/cid/ciw122CrossRefGoogle ScholarPubMed
Von Dolinger Brito, D, Matos, C, Abdalla, V, Filho, DA, Pinto, P. An outbreak of nosocomial infection caused by ESBLs producing Serratia marcescens in a Brazilian neonatal unit. Braz J Infect Dis 1999;3:149–155.Google Scholar
Maltezou, HC, Tryfinopoulou, K, Katerelos, P, et al.Consecutive Serratia marcescens multiclone outbreaks in a neonatal care unit. Am J Infect Control 2012;40:635–642.10.1016/j.ajic.2011.08.019CrossRefGoogle Scholar
Kinsey Bicking, C, Koirala, S, Solomon, B, et al.Pseudomonas aeruginosa outbreak in a neonatal intensive care unit attributed to hospital tap water. Infect Control Hosp Epidemiol 2017;38:801–808.10.1017/ice.2017.87CrossRefGoogle Scholar
Berthelot, P, Grattard, F, Mahul, P, et al.Prospective study of nosocomial colonization and Infection due to Pseudomonas aeruginosa in mechanically ventilated patients. Intens Care Med 2001;27:503–512.10.1007/s001340100870CrossRefGoogle ScholarPubMed
Reuter, S, Sigge, A, Wiedeck, H, Trautmann, M. Analysis of transmission pathways of Pseudomonas aeruginosa between patients and tap water outlets. Crit Care Med 2002;30:2222–2229.10.1097/00003246-200210000-00008CrossRefGoogle ScholarPubMed
Rogues, AM, Boulestreau, H, Lashéras, A, et al.Contribution of tap water to patient colonization with Pseudomonas aeruginosa in a medical intensive care unit. J Hosp Infect 2007;67:72–78.CrossRefGoogle Scholar
Venier, AG, Leroywe, C, Slekovec, C, et al.Risk factors for Pseudomonas aeruginosa acquisition in intensive care units: a prospective multicentre study. J Hosp Infect 2014;88:103–108.CrossRefGoogle ScholarPubMed
Zhou, Z, Hu, B, Gao, X, Bao, R, Chen, M, Li, H. Sources of sporadic Pseudomonas aeruginosa colonizations/infections in surgical ICUs: association with contaminated sink trap. J Infect Chemother 2016;22:450e–455e.10.1016/j.jiac.2016.03.016CrossRefGoogle ScholarPubMed
Dandalides, PC, Rutala, WA, Sarubbi, FA. Postoperative infections following cardiac surgery: association with an environmental reservoir in a cardiothoracic intensive care unit. Infect Control 1984;5:378–384.CrossRefGoogle Scholar
Salm, F, Deja, M, Gastmeier, P, et al.Prolonged outbreak of clonal MDR Pseudomonas aeruginosa on an intensive care unit: contaminated sinks and contaminated ultra-filtrate bags as possible route of transmission? Antimicrob Resist Infect Control 2016;5:53–60.10.1186/s13756-016-0157-9CrossRefGoogle ScholarPubMed
Roux, D, Aubier, B, Cochard, H, Quentin, R, van der Mee-Marquet, N. Contaminated sinks in intensive care units: an underestimated source of extended-spectrum beta-lactamase-producing-Enterobacteriaceae in the patient environment. J Hosp Infect 2013;85:106–111.10.1016/j.jhin.2013.07.006CrossRefGoogle ScholarPubMed
Supplementary material: File

Parra et al. supplementary material

Parra et al. supplementary material

Download Parra et al. supplementary material(File)
File 778.4 KB