icu bugs

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On Jan 16 2006 2:20PM  mdixon wrote: 
I hope someone can help. I am a physician working in Zimbabwe. We are desperately short skilled / experienced folk (I think most are in UK!)

Our large general hospital has a general ICU (ventilators)/ccu/hdu. Recently 4 patients had specimens which grew highly resistant klebsiella and pseudomonas. The nurses therefore swabbed various surfaces and grew same. they now want to empty icu and "thoughourly clean"

1 Is swabbing of surfaces useful?
2 Will removing patients and cleaning help?
3 Should we just re-inforce handwashing / gloving etc to minimise problems?

Many thanx for your help

Mark Dixon

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