Three prolonged outbreaks of metallo-β-lactamase-producing <i>Pseudomonas aeruginosa</i> in an Upper Austrian hospital, 2017–2023
The significance of our work lies in the successful resolution of three prolonged outbreaks of MBL-Pa infections in a hospital in Upper Austria. Through a comprehensive epidemiological investigation coupled with WGS-based typing of <i>P. aeruginosa</i> isolates, the study identified three distinct genomic clusters responsible for prolonged outbreaks involving 47 cases. The investigation pinpointed sinks in the ICU washroom as the likely source of infection for two of the clusters. The study demonstrates the effectiveness of control measures such as hand hygiene, gowning, patient isolation, screening, and disinfection in stopping further transmission and bringing the outbreaks to a close. This underscores the critical role of genomic surveillance and control measures, particularly in high-risk settings like ICUs, in reducing nosocomial transmission of MBL-Pa infections.
Authors
- Burkhard Springer
- Patrick Hyden
- Stefan Bletz
- Beatriz Daza Prieto (ORCID: https://orcid.org/0000-0002-7138-5441)
- Rick Conzemius (ORCID: https://orcid.org/0000-0002-7116-8180)
- Adriana Cabal Rosel (ORCID: https://orcid.org/0000-0001-9346-1612)
- Johannes Weinberger (ORCID: https://orcid.org/0000-0002-4671-7846)
- Alexander Mellmann (ORCID: https://orcid.org/0000-0002-0649-5185)
- Markus Hell
- Anna Stöger
- Kathrin Lippert
- Werner Ruppitsch (ORCID: https://orcid.org/0000-0001-9940-3333)
- Rainer Hartl (ORCID: https://orcid.org/0000-0002-9007-6089)
- Sandra Köberl-Jelovcan (ORCID: https://orcid.org/0000-0002-5623-8726)
- Anna Hörtenhuber
- Yarub Salaheddin
- Georg Steindl
Institutions
- Johannes Kepler University of Linz (AT)
- Paracelsus Medical University (AT)
- University Hospital Münster (DE)
- Engineering Software Steyr (Austria) (AT)
- Krankenhaus der Elisabethinen (AT)
- Austrian Agency for Health and Food Safety (AT)
Publication Details
- Journal
- Microbiology Spectrum
- Published
- 2024-08-20
- DOI
- https://doi.org/10.1128/spectrum.00740-24
- Citations
- 2
- Primary Topic
- Antibiotic Resistance in Bacteria
- Type
- article
- Field-Weighted Citation Impact
- 0.34
Funders
- European Commission