Outbreak of neonatal infection by an endemic clone of Serratia marcescens

作者: Karla Valéria Batista Lima , Raimundo Gladson Corrêa Carvalho , Irna Carla do Rosário Souza Carneiro , Josiane Lílian de Sousa Lima , Cintya de Oliveira Sousa

DOI: 10.1590/S0037-86822011000100024

关键词:

摘要: INTRODUCTION: The outbreak occurred between February and June 2006 included identification of the cases, analysis medical records, cultures from environmental sources, resistance analyses genotyping profile Serratia marcescens. METHODS: were composed 13 blood isolates, 17 rectal hand swabs air sampling. RESULTS: data obtained by pulsed-field gel electrophoresis exhibited three strains that contaminated 24 patients. Systemic infection was most common in neonates with lower weight, long periods hospitalization, premature delivery use mechanical ventilation. CONCLUSIONS: This investigation revealed multifactorial nature outbreak. An endemic clone S. marcescens detected.

参考文章(14)
Von Dolinger Brito D, Matos C, DA Filho, Abdalla, Pinto Gontijo P Filho, An Outbreak of Nosocomial Infection Caused by ESBLs Producing Serratia marcescens in a Brazilian Neonatal Unit. Brazilian Journal of Infectious Diseases. ,vol. 3, pp. 149- 155 ,(1999)
Carmem Lúcia Pessoa-Silva, Rosana Richtmann, Roseli Calil, Rosana Maria Rangel Santos, Maria Luiza M. Costa, Ana Cristina Cisne Frota, Sergio Barsanti Wey, Healthcare-associated infections among neonates in Brazil. Infection Control and Hospital Epidemiology. ,vol. 25, pp. 772- 777 ,(2004) , 10.1086/502475
S. Buffet-Bataillon, V. Rabier, P. Bétrémieux, A. Beuchée, M. Bauer, P. Pladys, E. Le Gall, M. Cormier, A. Jolivet-Gougeon, Outbreak of Serratia marcescens in a neonatal intensive care unit: contaminated unmedicated liquid soap and risk factors. Journal of Hospital Infection. ,vol. 72, pp. 17- 22 ,(2009) , 10.1016/J.JHIN.2009.01.010
Annette H. Sohn, Denise O. Garrett, Ronda L. Sinkowitz-Cochran, Lisa A. Grohskopf, Gail L. Levine, Beth H. Stover, Jane D. Siegel, William R. Jarvis, Prevalence of nosocomial infections in neonatal intensive care unit patients: Results from the first national point-prevalence survey. The Journal of Pediatrics. ,vol. 139, pp. 821- 827 ,(2001) , 10.1067/MPD.2001.119442
Elaine L. Larson, Jeannie P. Cimiotti, Janet Haas, Mirjana Nesin, Ari Allen, Phyllis Della-Latta, Lisa Saiman, Gram-negative bacilli associated with catheter-associated and non-catheter-associated bloodstream infections and hand carriage by healthcare workers in neonatal intensive care units Pediatric Critical Care Medicine. ,vol. 6, pp. 457- 461 ,(2005) , 10.1097/01.PCC.0000163669.37340.91
Jutte J. C. de Vries, Willy H. Baas, Kees van der Ploeg, Albêrt Heesink, John E. Degener, Jan P. Arends, Outbreak of Serratia marcescens colonization and infection traced to a healthcare worker with long-term carriage on the hands. Infection Control and Hospital Epidemiology. ,vol. 27, pp. 1153- 1158 ,(2006) , 10.1086/508818
Emmi Sarvikivi, Outi Lyytikäinen, Saara Salmenlinna, Jaana Vuopio-Varkila, Päivi Luukkainen, Eveliina Tarkka, Harri Saxén, Clustering of Serratia marcescens infections in a neonatal intensive care unit. Infection Control and Hospital Epidemiology. ,vol. 25, pp. 723- 729 ,(2004) , 10.1086/502467
S. A. McNeil, C. L. Foster, S. A. Hedderwick, C. A. Kauffman, Effect of hand cleansing with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers. Clinical Infectious Diseases. ,vol. 32, pp. 367- 372 ,(2001) , 10.1086/318488
Monica de Souza B. Pinheiro, Christiane Nicoletti, Icaro Boszczowsk, Dilma Mineko T. Puccini, Sonia Regina T. S. Ramos, Infecção hospitalar em Unidade de Terapia Intensiva Neonatal: há influência do local de nascimento? Revista Paulista De Pediatria. ,vol. 27, pp. 6- 14 ,(2009) , 10.1590/S0103-05822009000100002