An outbreak of postoperative rapidly developing and multidrug-resistant klebsiella pneumoniae urosepsis due to a contaminated ureteroscope

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dc.authorid0000-0001-7147-8288
dc.authorid0000-0003-3857-685X
dc.authorscopusid57205180885
dc.authorscopusid35487474000
dc.authorscopusid57193660286
dc.contributor.authorGüler, Yavuz
dc.contributor.authorErbin, Akif
dc.contributor.authorGözdaş, Hasan Tahsin
dc.date.accessioned2024-09-25T19:42:58Z
dc.date.available2024-09-25T19:42:58Z
dc.date.issued2022
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroduction: Outbreaks caused by microorganisms contaminating the inside of rigid ureteroscopes are extremely rare. Some of these outbreaks, especially those caused by multidrug-resistant (MDR) infections, can cause serious problems, even death. Among these serious infections, we have no data about Klebsiella pneumoniae outbreaks caused by rigid ureteroscopes and their management and consequences. Aim: We aimed to report the outcomes of an outbreak of rapidly developing MDR K. pneumoniae urosepsis linked to rigid ureteroscopy (URS). Materials and methods: Data for 68 patients who had ureteroscopic lithotripsy (URS-L) operations using the same ureteroscope were retrospectively reviewed. Among them, 17 patients with postoperatively developing urosepsis were included in the study. Samples were taken from the operating room, camera heads, endoscopes, and ancillary instruments for culture workup. K. pneumoniae was produced in a swab culture obtained from the water inlet channel of the ureteroscope. Results: All patients had sepsis signs that developed within hours (2-7 hours). MDR K. pneumoniae was detected in the urine cultures of all patients. It was sensitive only to amikacin, tigecycline, colistin, and netilmicin. All patients were treated with tigecycline (100 mg intravenous daily). It was observed that K. pneumoniae growth continued without any symptoms in the first and fourth weeks of followup in 4 patients. These patients were accepted as colonization; no additional treatment was given. Conclusions: In the case of rapidly developing urosepsis after the URS procedure in a patient, instruments, devices, and endoscopes should be immediately checked for contamination to prevent the emergence of an outbreak. © 2022 Folia Medica. All rights reserved.en_US
dc.identifier.doi10.3897/folmed.64.e62365
dc.identifier.endpage407en_US
dc.identifier.issn0204-8043
dc.identifier.issue3en_US
dc.identifier.pmid35856100en_US
dc.identifier.scopus2-s2.0-85134378150en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage401en_US
dc.identifier.urihttps://doi.org/10.3897/folmed.64.e62365
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12384
dc.identifier.volume64en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGözdaş, Hasan Tahsin
dc.institutionauthorid0000-0003-3857-685X
dc.language.isoenen_US
dc.publisherMedical University of Plovdiven_US
dc.relation.ispartofFolia Medicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectKlebsiella Pneumoniaeen_US
dc.subjectUreteroscopesen_US
dc.subjectUreteroscopyen_US
dc.subjectUrosepsisen_US
dc.titleAn outbreak of postoperative rapidly developing and multidrug-resistant klebsiella pneumoniae urosepsis due to a contaminated ureteroscopeen_US
dc.title.alternativeОчаг послеоперационного быстроразвивающегося и полирезистентного Klebsiella pneumoniae уросепсиса из-за контаминации уретероскопаen_US
dc.typeArticleen_US

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