Pseudomeningitis due to Pseudomonas aeruginosa in a paedriatic ward of a tertiary care centre: a glimpse on infection control measures

  • Anuradha Sood Associate Professor, Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001 Email: soodanuradha72 @ yahoo.com
  • Puneet Kumar Gupta Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
  • Kamlesh Thakur Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
  • Smriti Chauhan Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
  • Subhash Chand Jaryal Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
  • Piyush Gautam Department of Pediatrics, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001

Abstract

Paediatric bacterial meningitis is a life threatening illness. We report a pseudo-outbreak of Pseudomonas aeruginosa meningitis in neonates from the neonatal intensive care unit (NICU) and paediatric ward of our 567 bed tertiary care hospital. The infection control team (ICT) investigated the cause of a sudden significant increase of Pseudomonas meningitis in neonates. A retrospective analysis of all the isolates from CSF and environmental sampling from NICU and paediatric ward was done. Direct culture of autoclaved rubber caps of glass vials as well as cetrimide and chlorhexidine solution yielded growth of P. aeruginosa, with an antibiogram similar to CSF isolates. Pseudo-infection not only burdens the work of health care providers but also has financial implications; hence every measure should be taken to prevent it.

Author Biographies

Anuradha Sood, Associate Professor, Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001 Email: soodanuradha72 @ yahoo.com
Associate professor Department of microbiology
Puneet Kumar Gupta, Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
Medical officer MD Microbiology, Department of Microbiology
Kamlesh Thakur, Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
Professor and Head Department of Microbiology
Smriti Chauhan, Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
Senior Resident Department of Microbiology
Subhash Chand Jaryal, Department of Microbiology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
Professor, Department of Microbiology
Piyush Gautam, Department of Pediatrics, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India PIN 176001
Assistant Professor, Department of Pediatrics
Published
2016-03-28
Section
Practice Forum