Measures for infection control in a Carbapenam-resistant Enterobacteriae carrier post open heart surgery in the cardiac intensive care unit: A case report

Gurpreet Singh 1 * , Simon Jerome Vendargon 1, Syed Rasul G. Syed Hamid 1, Masliza Zaid 2
More Detail
1 Department of Cardiothoracic Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia
2 Department of Infectious Disease, Hospital Sultanah Aminah, Johor Bahru, Malaysia
* Corresponding Author
J CLIN MED KAZ, Volume 3, Issue 57, pp. 45-47. https://doi.org/10.23950/1812-2892-JCMK-00757
OPEN ACCESS 1783 Views 1723 Downloads
Download Full Text (PDF)

ABSTRACT

The prevalence of Carbapenem-resistant Enterobacteriaceae infection in a hospital setting is on the rise. Once infected, it is associated with increased morbidity as well as mortality. The common isolates of a Carbapenem-resistant Enterobacteriaceae infection is Klebsiella pneumoniae. In this case report, we discussed on a patient who is a Carbapenem-resistant Enterobacteriaceae carrier that underwent an open heart surgery in a government hospital in Johor Bahru, Malaysia. On the whole, our objectives were to identify risk factors that warrants a patient to be screened for Carbapenem-resistant Enterobacteriaceae infection and once a Carbapenem-resistant Enterobacteriaceae infected patient is detected, what are the measures that can be implemented to prevent and  control spread of infection particularly in the intensive care unit setting.

CITATION

Singh G, Vendargon SJ, Hamid SRGS, Zaid M. Measures for infection control in a Carbapenam-resistant Enterobacteriae carrier post open heart surgery in the cardiac intensive care unit: A case report. Journal of Clinical Medicine of Kazakhstan. 2020;3(57):45-7. https://doi.org/10.23950/1812-2892-JCMK-00757

REFERENCES

  • Malaysian action plan on antimicrobial resistance (MyAP-AMR) 2017-2021, Ministry of Health Malaysia, 2018.
  • Salsano A, Giacobbe DR, Sportelli E, Olivieri GM, Brega C, Coppo E et al. Risk factors for infections due to carbapenem-resistant Klebsiella pneumoniae after open heart surgery. Interactive CardioVascular and Thoracic Surgery. 2016; 23 (5):762-768. https://doi.org/10.1093/icvts/ivw228
  • Magiorakos AP, Burns K, BaƱo JR, Borg M, Daikos G, Dumpis U, Lucet JC et al. Surgical site infection rates following cardiac surgery: the impact of a 6-year infection control program. Am J Infect Control. 2005; 33(8):450-454. https://doi.org/10.1016/j.ajic.2005.07.002
  • Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356(9238):1307-1312. https://doi.org/10.1016/S0140-6736(00)02814-2
  • Morgan D, Rogawski E, Thom KA, Johnson JK, Perencevich EN, Shardell M et al. Transfer of multidrug-resistant bacteria to healthcare workers' gloves and gowns after patient contact increases with environmental contamination. Crit Care Med. 2012; 40(4):1045-1051. https://doi.org/10.1097/CCM.0b013e31823bc7c8
  • Abboud CS, de Souza EE, Zandonadi EC, Borges LS, Miglioli L, Monaco FC et al. Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: successful measures for infection control. J Hosp Infect. 2016; 94(1):60-64. https://doi.org/10.1016/j.jhin.2016.06.010