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Two outbreaks of ESBL‐producing K lebsiella pneumoniae in a neonatal intensive care unit
Abstract Background In the present study, two epidemic episodes of extended spectrum beta‐lactamase ( ESBL) ‐producing K lebsiella pneumoniae in the neonatal intensive care unit (NICU) were evaluated. Methods Routine and surveillance culture samples were taken from seven neonates with signs of infec...
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| Published in: | Pediatrics international 2014-04, Vol.56 (2), p.222-226 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
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| Summary: | Abstract
Background
In the present study, two epidemic episodes of extended spectrum beta‐lactamase (
ESBL)
‐producing
K
lebsiella 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
S
elcuk
U
niversity
F
aculty of
M
edicine between 10
M
arch and 25
A
pril 2011, and between 11
J
une and 30
S
eptember 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. |
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| ISSN: | 1328-8067 1442-200X |
| DOI: | 10.1111/ped.12234 |