Klebsiella: Statement and Information
News added 30 July 2010 - Updated 24 September 2010
Following the detection of a small cluster of patients with NDM-1 Klebsiella infections in July 2010, The Shrewsbury and Telford Hospital NHS Trust has issued the following statement:
Dr Patricia O'Neill, Director of Infection Prevention and Control, said:
"Earlier this summer we identified a small cluster of patients with urine infections caused by an antibiotic resistant bacteria called Klebsiella. These nine patients had recently undergone rigid cystoscopy (bladder examination) at the Princess Royal Hospital. In general the symptoms have either been mild or non-symptomatic but two patients have required intravenous antibiotics.
"Thanks to robust infection prevention and control policies at the Trust we quickly identified and addressed the source of the cross infection and put additional monitoring in place to ensure that further infection had been stopped.
"Unfortunately there are many infections that pass from person to person and hospitals face a constant challenge to tackle them. Whenever a cluster of infections is detected our first priorities are to tackle it by finding the source, stop it spreading any further, and treat the patients that have been infected. After we had done this, we looked carefully at our records to identify whether any other patients may have been exposed and contacted them to offer testing.
"This infection was spotted because of high standards of infection control in our hospitals, and through support from the Health Protection Agency. At the Trust we have a very strong record for tackling these infections, which has been shown recently by the fact it has now been nearly seven months since the last hospital acquired MRSA bloodstream infection was detected.
"We would encourage anyone who experiences a urinary tract infection to consult their GP."
Notes to Editors
- We can confirm the source of the infection is a camera attached to the rigid cystoscope. The people affected had undergone the same procedure.
- This infection is not sensitive to oral antibiotics so patients have been given intravenous antibiotics.
- No wards were closed. Additional monitoring involved a more frequent cycle of urine tests for people who have undergone urological procedures. Any patient with an infection such as this will be treated in isolation to protect them and other patients, and prevent the infection spreading
- The Trust strives for the highest standards in the decontamination of medical equipment and devices. A recent unannounced inspection by the Care Quality Commission had no concerns about the Trust's measures for "using effective arrangements for the appropriate decontamination of instruments and other equipment". The Trust has also reported this issue to the Medicines and Healthcare Products Regulatory Authority in order to help other health care organisations address this possible route for cross-infection.
- More information about Klebsiella can be found on the Trust's Infection Prevention and Control internet page.