Two outbreaks of ESBL-producing Klebsiella pneumoniae in a neonatal intensive care unit.
Pediatr Int
; 56(2): 222-6, 2014 Apr.
Article
in En
| MEDLINE
| ID: mdl-24127911
ABSTRACT
BACKGROUND:
In the present study, two epidemic episodes of extended spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae in the neonatal intensive care unit (NICU) were evaluated.METHODS:
Routine and surveillance culture samples were taken from seven neonates with signs of infection in the NICU of Selcuk University Faculty of Medicine between 10 March and 25 April 2011, and between 11 June and 30 September 2011.RESULTS:
ESBL-producing K. pneumoniae strains were isolated in six different samples (one wound, one blood, and four cerebrospinal fluid cultures) of the three neonates in the first episode and in 11 different samples (seven blood and four cerebrospinal fluid cultures) of the four neonates in the second episode. ESBL-producing K. pneumoniae was isolated from inguinal, axillar region, and stool samples of the nine colonized neonates in the second episode. It was determined on pulse field gel electrophoresis that all strains originated from two clones.CONCLUSIONS:
The deficiencies in the infection control measures in an NICU may transform into an epidemic rapidly. Therefore, periodic training, observation, and monitoring of compliance are important.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Beta-Lactamases
/
Klebsiella Infections
/
Intensive Care Units, Neonatal
/
Cross Infection
/
Disease Outbreaks
/
Klebsiella pneumoniae
Type of study:
Prognostic_studies
Limits:
Female
/
Humans
/
Male
/
Newborn
Language:
En
Journal:
Pediatr Int
Journal subject:
PEDIATRIA
Year:
2014
Type:
Article
Affiliation country:
Turkey