Data/hora: 10/06/2024 14:15:49

Provedor de dados: 	55	
País: 	Brazil	
Título: 	An outbreak of Acinetobacter baumannii septicemia in a neonatal intensive care unit of a university hospital in Brazil	
Autores: 	Brito,Denise von Dolinger de; Oliveira,Elias José; Abdallah,Vânia O. Steffen; Darini,Ana Lúcia da Costa; Gontijo Filho,Paulo P.	
Data: 	2005-08-01	
Ano: 	2005	
Palavras-chave: 	Acinetobacter baumannii; Molecular epidemiology; Outbreak; Neonates.	
Resumo: 	We studied an outbreak of two multi-drug resistant clones of Acinetobacter baumannii in the Neonatal Intensive Care Unit of the Uberlândia Federal University Hospital in Minas Gerais state, Brazil, and we analyzed the contribution of cross-transmission in the rise in infection rates. Eleven neonates who developed multi-drug resistant A. baumannii nosocomial infection were matched to 22 neonates who were admitted to the same unit and did not develop an infection during the outbreak period, in order to identify risk factors for infection. Three out of the 11 neonates died. Epidemiological investigation included molecular typing, using pulsed field gel electrophoresis. Prior to the outbreak, from December 2001 to March 2002, no case of infection by this microorganism was diagnosed. Environmental and healthcare worker hand cultures were negative. Nine isolates had similar pulsed field gel electrophoresis patterns and two had another clone. The first clone was brought into the unit by an infected patient who was transferred from another hospital without a history of antibiotic use. The second clone did have its origin clearly defined. Both infected groups led us to conclude that several factors contributed to infection with A. baumannii. These factors were: exposure to antibiotics and invasive devices, birth weight &lt; 1500g, age &lt; 7 days and duration of hospitalization &gt; 7 days. Based on logistic regression, infected neonates were more exposed to carbapenem and mechanical ventilation than the control group. Cross transmission between infants contributed to the rise in the rates of multi-drug resistant A. baumannii infection.	
Tipo: 	Info:eu-repo/semantics/article	
Idioma: 	Inglês	
Identificador: 	http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702005000400006	
Editor: 	Brazilian Society of Infectious Diseases	
Relação: 	10.1590/S1413-86702005000400006	
Formato: 	text/html	
Fonte: 	Brazilian Journal of Infectious Diseases  v.9 n.4 2005	
Fonte: 	info:eu-repo/semantics/openAccess