scholarly journals SEC-C-U: The Security of Intensive Care Unit Medical Devices and Their Ecosystems

IEEE Access ◽  
2020 ◽  
Vol 8 ◽  
pp. 64193-64224
Author(s):  
Carmel Eliash ◽  
Isaac Lazar ◽  
Nir Nissim
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Devices

Collodion Remover Can Degrade Plastic-Containing Medical Devices Commonly Used in the Intensive Care Unit

2019 ◽  
Vol 59 (3) ◽  
pp. 163-168
Author(s):  
Mark P. Fitzgerald ◽  
Maureen Donnelly ◽  
Lisa Vala ◽  
Linda Allen-Napoli ◽  
Nicholas S. Abend
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Devices

scholarly journals Anaphylactic reaction to ethylene oxide in a hemodialysis patient

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983874
Author(s):  
Bobak J Akhavan ◽  
Ugochi A Osborn ◽  
Reeba Mathew
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Ethylene Oxide ◽  
Allergic Reaction ◽  
Medical Devices ◽  
Hemodialysis Patient ◽  
Intensive Care Unit Setting ◽  
Inpatient Setting ◽  
Allergic Reactions ◽  
Systemic Allergic Reaction

We present the case of a patient who developed a severe systemic allergic reaction during initiation of hemodialysis. The reaction completely resolved by switching the dialysis filter sterilized by ethylene oxide to a steam sterilized filter. Ethylene oxide is used to sterilize heat sensitive medical devices, and although allergic reactions related to ethylene oxide have been reported before, awareness is lacking among providers in the inpatient setting, specifically in the intensive care unit setting.

scholarly journals Implementation of automated dispensing cabinets for management of medical devices in an intensive care unit: organisational and financial impact

2015 ◽  
Vol 23 (2) ◽  
pp. 86-90 ◽  
Author(s):  
Elsa Bourcier ◽  
Sophie Madelaine ◽  
Valérie Archer ◽  
François Kramp ◽  
Muriel Paul ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Devices ◽  
Financial Impact

scholarly journals Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention!

2016 ◽  
Vol 28 (3) ◽  
Author(s):  
Ana Sofia Linhares Moreira ◽  
Maria da Graça Alves Afonso ◽  
Mónica Ribeiro dos Santos Alves Dinis ◽  
Maria Cristina Granja Teixeira dos Santos
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Devices

scholarly journals Successful Infection Control of an Extended-Spectrum Beta-Lactamase-Producing Klebsiella pneumoniae ST307 Outbreak in a Neonatal Intensive Care Unit

2019 ◽  
Author(s):  
Eun-Hwa Baek ◽  
Se-Eun Kim ◽  
Sunjoo Kim ◽  
Seungjun Lee ◽  
Oh-Hyun Cho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Klebsiella Pneumoniae ◽  
Infection Control ◽  
Medical Devices ◽  
Neonatal Intensive Care ◽  
Medical Personnel ◽  
Beta Lactamase ◽  
Clinical Specimens ◽  
Extended Spectrum Beta Lactamase

Abstract Background : We experienced an outbreak of extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae (ESBL-KPN) bacteremia in a neonatal intensive care unit (NICU) starting in August 2017. We implemented an active countermeasure to control the outbreak of ESBL-KPN successfully. Methods: The incidence of ESBL-KPN based on clinical specimens and healthcare-associated infection (HAI) rate were evaluated before and after the initiation of enhanced infection control (IC) practices initiated in January, 2018. Surveillance cultures were carried out for neonates, medical personnel, and NICU environmental samples. Molecular analyses, including pulse-field gel electrophoresis (PFGE), sequence typing, and ESBL genotyping, were performed for the isolated KPN strains. Results: The incidence of ESBL-KPN in clinical specimens decreased from 2.84 to 0.49 per 1,000 patient-days and the HAI rate decreased from 2.43 to 0.0 per 1,000 patient-days after the implementation of enhanced IC procedures. Eleven neonates (11/15, 73.3%), one (1/41, 2.4%) of the medical personnel, and six (6/181, 3.3%) samples from the surroundings and medical devices were positive for ESBL-KPN in the surveillance cultures. All isolates demonstrated the same antibiotic resistance pattern and similar PFGE patterns and were identified as ST307 containing CTX-M-15. Conclusions: Contaminated neonate surroundings and medical devices as well as spreading by medical personnel appeared to be the source of the outbreak of ESBL-KPN. We used an enhanced IC strategy for 3 months and successfully resolved the clonal outbreak of CTX-M-15-producing KPN. ST307 has emerged as an important bacteremia-causing pathogen in the NICU and should be monitored carefully.

scholarly journals Nosocomial infections and microbiological agents in an intensive care unit

2012 ◽  
Vol 64 (4) ◽  
pp. 1357-1362 ◽  
Author(s):  
Gorana Cosic ◽  
Jelena Djekic ◽  
Smiljana Rajcevic ◽  
M. Ristic ◽  
N. Ikonic
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Infection Control ◽  
Medical Devices ◽  
Nosocomial Infections ◽  
Healthcare Workers ◽  
Hospital Environments ◽  
Microbiological Agents ◽  
Epidemiological Characteristics

Hospital environments provide a special setting for the interaction of microbiological agents of infection and a host of patients and healthcare workers. Although the basic tenets about the spread of infections in hospital have not changed, new issues have emerged that make infection control more problematic. The aim of this paper was to provide the epidemiological characteristics of nosocomial infections and pathogens among patients in an intensive care unit (ICU), the department with the highest risk of the infections associated with medical devices and healthcare.

How to Reduce DEHP in Your NICU: A Plan of Simple Steps to Promote Change

2006 ◽  
Vol 25 (6) ◽  
pp. 447-449 ◽  
Author(s):  
Victoria Pak ◽  
Valerie Briscoe ◽  
Linda McCauley
Keyword(s):  
Public Health ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Devices ◽  
Neonatal Intensive Care ◽  
Neonatal Nurses ◽  
Neonates And Infants ◽  
Ethylhexyl Phthalate ◽  
Dehp Exposure ◽  
The U.S

IN THEIR EFFORTS TO IMPROVE THE health outcomes of neonates and infants in the Neonatal Intensive Care Unit (NICU), neonatal nurses should understand the potential for harm that plastic medical devices pose to infants. Di(2-ethylhexyl) phthalate (DEHP) is a plasticizer used to soften polyvinylchloride (PVC) that can leach from the plastic into the fluid or gas being delivered to the neonate. DEHP can harm the developing reproductive system. The U.S. Food and Drug Administration (FDA) has issued a public health notification recommendation that DEHP- free devices be considered for use in NICU patients.1 There are alternatives available. The purpose of this column is to inform neonatal nurses of the risk of DEHP exposure among infants and to make it simpler for them to implement change in reducing DEHP in their institution.

scholarly journals Clonal dispersion of Acinetobacter baumannii in an intensive care unit designed to patients COVID-19

2021 ◽  
Vol 15 (01) ◽  
pp. 58-68
Author(s):  
Emilio Mariano Durán-Manuel ◽  
Clemente Cruz-Cruz ◽  
Gabriela Ibáñez-Cervantes ◽  
Juan Carlos Bravata-Alcantará ◽  
Oscar Sosa-Hernández ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Acinetobacter Baumannii ◽  
Medical Devices ◽  
Medical Personnel ◽  
Genetic Identification ◽  
Heterogeneous Distribution ◽  
Clonal Distribution ◽  
Clonal Spread

Introduction: SARS-CoV2 pandemic marks the need to pay attention to bacterial pathogens that can complicate the hospital stay of patients in the intensive care unit (ICU). ESKAPE bacteria which includes Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter cloacae are considered the most important, because of their close relationship with the development of ventilator-associated pneumonia (VAP). The aim of this work was to identify and characterize ESKAPE bacteria and to detect their possible clonal spread in medical devices, patients, and medical personnel of the ICU for COVID-19 patients of the Hospital Juarez de Mexico. Methodology: Genetic identification of ESKAPE bacteria was performed by analyzing the 16S rRNA gene. Resistance assays were performed according to the CLSI guidelines. Assembly of AdeABCRS operon and inhibition assays of pumps efflux in Acinetobacter baumannii isolates were performed. Associated gene involved in biofilm formation (icaA) was performed in isolates belonging to the Staphylococcus genus. Finally, typing by ERIC-PCR and characterization of mobile genetic element SCCmec were done. Results: Heterogeneous distribution of ESKAPE and non-ESKAPE bacteria was detected in various medical devices, patients, and medical personnel. Acinetobacter baumannii and Staphylococcus aureus were the predominant ESKAPE members. The analysis of intergenic regions revealed an important clonal distribution of A. baumannii (AdeABCRS+). Genotyping of SCCmec mobile genetic elements and the icaA gene showed that there is no clonal distribution of S. aureus. Conclusions: Clonal spread of A. baumannii (AdeABCRS+) highlights the importance of adopting good practices for equipment disinfection, surfaces and management of COVID-19 patients.

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