Fierer J, Ekstrom M
JAMA. 1981 Apr 17;245(15):1553-5.
We investigated an outbreak of multiple antibiotic-resistant Providencia stuartii urinary tract infections that occurred on a neurology ward. Only patients who had been catheterized became infected. However, approximately 10% of patients with condom catheter urinary drainage systems were colonized, ie, P stuartii was present on their skin and in the urine drainage bags but not in fresh-voided urine. Patient urinals were also contaminated. The outbreak was terminated by segregating infected and colonized patients from other patients who required either external or indwelling urinary catheters and by stopping the practice of exchanging urinals among patients.
我们调查了一起发生在神经内科病房的多重耐药性斯氏普罗威登斯菌尿路感染暴发事件。只有接受过导尿的患者受到感染。然而，使用避孕套导尿管尿液引流系统的患者中约有10%被定植，即斯氏普罗威登斯菌存在于他们的皮肤和尿液引流袋中，但在新鲜排出的尿液中未检测到。患者的尿壶也受到了污染。通过将感染和定植患者与其他需要外置或留置导尿管的患者隔离开来，并停止在患者之间交换尿壶的做法，疫情得以终止。
