Post CRAB clean

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Specializes in gen icu/ neuro icu/ trauma icu/hdu.

Dear all,

looking for a few answers. Recently we have had a little problem with [evil]CRAB [/evil] , done some swabs etc and learned basically that our unit is colonised with the little nastys. Our cleaning practices changed to "double clean" with a soapy solution (as advised by ID). Anyone got any better solutions to rid us of this nasty contaminant? eg does cleaning with ethanol/methanol help. Any links to EBP sites would be welcomed as we really want to get ontop of this early.

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Specializes in Critical Care, Cardiothoracics, VADs.

I hate to sound dumb, but what is CRAB?

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Specializes in Critical Care/ICU.

I know that crabs = lice.

Maybe OP's talking about the same thing.

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Specializes in CCU/CVU/ICU.
I know that crabs = lice.

Maybe OP's talking about the same thing.

Begalli you're being nice.

It's usually specific to pubic lice...yuk..gag.

In which case things should get better as soon as the nurses get a good insecticied(sp?) scrubbing/shampooing and quit sharing underwear...or something.

i hope the op's CRAB means something else!

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Specializes in Critical Care/ICU.

It's usually specific to pubic lice...yuk..gag.

I can't even imagine working with such an investation.

"little nasties" (from the OP)

To me that says it all. :idea:

The unit needs to be closed and bombed (with insecticide) to kingdom come.

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Specializes in gen icu/ neuro icu/ trauma icu/hdu.

Nice try all but lice we can deal with CRAB = a multi antibiotic resistant acinitabacar (I think I got that spelling right?) or in otherwords a gram negative bacteria that is resistant to several ABs has also been known as MRA (multi-resistant acinitarbactar). Big problem is that being gram stain negative it has a shell that allows it to survive on surfaces for a long time so it is a serios pain in the A*** to eradicate. Think MRSA squared.

I probably should have given the organism's full name down seeing that it has been called several things in the past but I was seriously toasted having just finished a tour of night duty.

Thankx for the posts though

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Specializes in LTC/Peds/ICU/PACU/CDI.

lol...glad you cleared that one up. i too thought you were referring to the pubic lice :idea:!

cheers,

moe

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Specializes in Cardiac.

I thought it was crabs at first too!

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Specializes in ICU, Education.

I call it the bacter factor. In my last facility they were getting to the point of quarantining all the Acinetobactor patietns on the same unit. At my current facility, they aren't even isolating them?????!

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Specializes in gen icu/ neuro icu/ trauma icu/hdu.
I call it the bacter factor. In my last facility they were getting to the point of quarantining all the Acinetobactor patietns on the same unit. At my current facility, they aren't even isolating them?????!

the Bacter Factor...I love it.

Does your current unit do regular MRO (multi resistant organism ) screens? If so are they running into colanisation problems too?

Did your preveous unit manage to erradicate the problem?

So many questions such slow internet link..:lol2:

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Specializes in Critical Care, Cardiothoracics, VADs.

Hehe I know crabs=lice, I just assumed it was a bug. I have not heard acinetobacter called CRAB.

We had a problem with it in my old ICU - everyone got it, and we had to throw all disposables out when the patients were discharged from a bedspace.

I have now seen lots of problems with infections with it in our VAD patients - driveline, sternum, pump pocket etc. It is indeed a bugger to get rid of!

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