Data/hora: 16/06/2024 14:23:09

Provedor de dados: | 58
País: | Brazil
Título: | Nosocomial outbreaks due to Pseudomonas aeruginosa and Acinetobacter baumannii in a Neonatal Intensive Care Unit (NICU) of the Uberlândia Federal University Hospital
Autores: | Brito,Denise Von Dolinger de; Oliveira,Elias Jose; Darini,Ana Lúcia da Costa; Abdallah,Vânia Olivetti Sttephen; Gontijo-Filho,Paulo Pinto.
Data: | 2003-11-01
Ano: | 2003
Palavras-chave: | Outbreak; Neonate; Acinetobacter baumannii; Pseudomonas aeruginosa.
Resumo: | The study documents the occurrence of two subsequent outbreaks in the NICU of HC-UFU, caused by epidemic strains of multiresistant Pseudomonas aeruginosa and Acinetobacter baumannii, that occurred between March/01 and September and between October/01 and March/02, respectively. The P. aeruginosa outbreak included seven neonates with conjunctivitis and three with bacteremia. A case-control study was conducted for the A. baumannii outbreak, with 11 and 22 neonates, respectively. The isolates of A. baumannii were resistant to gentamacin and ciprofloxacin. P. aeruginosa isolates were resistant to ampicillin/sulbactam gentamicin and ciprofloxacin. The hands of healthcare workers and environmental cultures were negative. The outbreak of P. aeruginosa resulted in the increase of use of imipenem, which could have favoured the emergence of a A. baumannii epidemic strain, despite of its susceptibility to this antibiotic. The risk factors for A. baumannii infection were: weight &lt;1500g, age &lt; 7 days, hospitalization &gt; 7 days and use of carbapenems. Containment of the two outbreaks was achieved by introduction of strict hygiene measures and careful nursing care of the infected infants. The reservatory and the route of transmission were not found.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822003000500009
Editor: | Sociedade Brasileira de Microbiologia
Relação: | 10.1590/S1517-83822003000500009
Formato: | text/html
Fonte: | Brazilian Journal of Microbiology  v.34 suppl.1 2003
Fonte: | info:eu-repo/semantics/openAccess