dc.creatorChaves, Marcelo S.
dc.creatorLeonardelli, Florencia
dc.creatorFranco, Diego M.
dc.creatorRíos, Pablo G.
dc.creatorColli, Gustavo M.
dc.creatorGutiérrez, Alicia R.
dc.creatorFerri, Melina
dc.creatorElgadban, María C.
dc.creatorBasaldúa, María L.
dc.creatorBoleas, Mariana
dc.creatorFeltes Silva, Patricia
dc.creatorBantar, Carlos
dc.creatorGamarra, Soledad
dc.creatorGarcía Effrón, Guillermo
dc.date.accessioned2022-02-11T12:17:17Z
dc.date.accessioned2022-10-15T05:37:06Z
dc.date.available2022-02-11T12:17:17Z
dc.date.available2022-10-15T05:37:06Z
dc.date.created2022-02-11T12:17:17Z
dc.date.issued2020-07
dc.identifierChaves, Marcelo S.; Leonardelli, Florencia; Franco, Diego M.; Ríos, Pablo G.; Colli, Gustavo M.; et al.; Control of an outbreak of post-transplant cutaneous mucormycosis by removing the vehicle: An intervention study of contiguous cohorts; Mosby-Elsevier; American Journal Of Infection Control; 48; 7; 7-2020; 791-794
dc.identifier0196-6553
dc.identifierhttp://hdl.handle.net/11336/151865
dc.identifierCONICET Digital
dc.identifierCONICET
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/4350594
dc.description.abstractBackground: An outbreak of post-kidney transplant cutaneous mucormycosis (PK-CM), a severe and even fatal complication in immunocompromised patients, occurred in our institution. The objective of this study was to compare the usual fixation of sterile wound dressings with non-sterile elastic bandages and fixation with sterile bandages processed at our centralized sterile services department with regard to PK-CM prevention. Methods: We conducted a before-and-after trial in a private tertiary care hospital. The pre-intervention cohort (n = 16) included all patients who had undergone kidney transplant (KT) during the outbreak (June 2010-April 2011), and the post-intervention cohort (n = 49) included all patients who had undergone KT between May 2011 and October 2013. From May 2011, only bandages sterilized by the centralized sterile services department were used to fix wound dressings of KT patients. Results: Differences in age (50.2 years vs 51.3 years), sex (43.8% male vs 59.2% female), weight (63.3 kg vs 69.7 kg), hemodialysis vintage (55.6 months vs 47.8 months), and other risk factors were not observed between the pre- and post-intervention cohorts, respectively. PK-CM incidence dropped from 25% in the pre-intervention cohort (4/16) to 0% in the post-intervention cohort (0/49). Relative risk was 0 (P =.003). Conclusions: With regard to KT patients and sterile wound dressing fixation with non-sterile bandages versus the use of autoclaved bandages, fixation with autoclaved bandages proved to be effective for cutaneous mucormycosis outbreak control and prevention in our institution.
dc.languageeng
dc.publisherMosby-Elsevier
dc.relationinfo:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.ajic.2019.10.024
dc.rightshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectAUTOCLAVING STERILIZATION
dc.subjectELASTIC BANDAGES
dc.subjectKIDNEY TRANSPLANT
dc.subjectSURGICAL SITE INFECTION
dc.titleControl of an outbreak of post-transplant cutaneous mucormycosis by removing the vehicle: An intervention study of contiguous cohorts
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:ar-repo/semantics/artículo
dc.typeinfo:eu-repo/semantics/publishedVersion


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