An outbreak of @entity2893 -resistant XXXX in a urology ward.

@entity1 @entity2893 @entity796
OBJECTIVE: To investigate an outbreak of @entity2893 -resistant @entity796 (CRPA) in a urology ward. METHODS: @entity1 infected or colonized with CRPA were prospectively identified by daily laboratory surveillance. Routine infection-control measures were reinforced, disinfection protocols were revised, and a surveillance program was set up, analyzing cross-transmission in the nursing ward and environment cultures from urology wards and the operating theater. CRPA isolates from clinical and environment samples were studied by pulsed-field gel electrophoresis (PFGE), following XbaI and SpeI restriction. RESULTS: From February 1998 to September 2000, 59 adult urology @entity1 were colonized or infected by CRPA. All @entity1 had been operated on prior to identification of the CRPA isolate and 79% of these procedures were performed in the same cystoscopy room. No @entity1 had received prior @entity2893 therapy. No cross-transmission was detected, and environment cultures from the urology ward and theater were negative except for five samples collected in the cystoscopy room. PFGE identified a single clone in the isolates from different @entity1 and the environment samples. CONCLUSIONS: The PFGE analysis indicated that the CRPA outbreak resulted from the contamination of the cystoscopy room via an unsealed drain. The outbreak ended when the drain was sealed.
