Publications by authors named "Kelley Tobey"
Background: Contaminated healthcare facility wastewater plumbing is recognized as a source of carbapenemase-producing organism transmission. In August 2019, the Tennessee Department of Health (TDH) identified a patient colonized with Verona integron-encoded metallo-beta-lactamase-producing carbapenem-resistant (VIM-CRPA). A record review revealed that 33% (4 of 12) of all reported patients in Tennessee with VIM had history of prior admission to acute care hospital (ACH) A intensive care unit (ICU) Room X, prompting further investigation.
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- The Tennessee Department of Health (TDH) investigated a hepatitis A outbreak involving healthcare workers and patients to identify infection sources and recommend prevention strategies.
- The investigation revealed 8 confirmed cases linked to a homeless patient with untreated HAV who had considerable interaction with HCWs, and lapses in infection control practices were identified.
- Recommendations to reduce transmission included enhancing hand hygiene, adhering to standard precautions, and considering hepatitis A in diagnoses for at-risk patients.