Document Detail


The infection hazard of contaminated nebulizers.
MedLine Citation:
PMID:  4682638     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ineffectual disinfection of inhalation equipment between therapy sessions of different patients has been reported to produce serious outbreaks of infection. The role of properly disinfected equipment that becomes colonized during use was assessed. In the Vancouver General Hospital gram-negative bacilli in the nebulizer water were demonstrated in 10.5% of nebulizers being used for periods of 24 to 72 hours. In at least 15% of patients exposed to contaminated nebulizers the organism was recovered from the respiratory tract 48 hours after removal of the equipment. Only one out of 85 patients exposed to contaminated nebulizers developed pneumonia, and in this instance a clear history of aspiration of vomitus was present. The low incidence of pneumonia may be related to the high percentage of nebulizers contaminated by organisms of low virulence and might be much greater in hospitals where more highly pathogenic organisms are commonly found as nebulizer contaminants. Fifteen patients with pneumonia prior to exposure to a contaminated nebulizer failed to show any evidence of superinfection.
Authors:
F J Roberts; W H Cockcroft; H E Johnson; T Fishwick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  108     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1973 Jan 
Date Detail:
Created Date:  1973-03-01     Completed Date:  1973-03-01     Revised Date:  2010-06-22    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  53-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Bacteria / isolation & purification
Bacterial Infections / etiology
Cross Infection / etiology*
Decontamination*
Humans
Pneumonia / etiology
Respiratory Therapy / instrumentation*
Respiratory Tract Infections / etiology*
Time Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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