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Two outbreaks of ESBL‐producing K lebsiella pneumoniae in a neonatal intensive care unit
Author(s) -
Sumer Sua,
Turk Dagi Hatice,
Findik Duygu,
Arslan Ugur,
Aktug Demir Nazlim,
Ural Onur,
Tuncer Inci
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12234
Subject(s) - medicine , neonatal intensive care unit , outbreak , intensive care unit , cerebrospinal fluid , intensive care , microbiology and biotechnology , pediatrics , virology , intensive care medicine , biology
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.