Intervention in an outbreak of extended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae in a neonatal intensive care unit - Teresina, Piaui State, Brazil, 2010-2011

被引：2

作者：

Sousa Lima, Marcos Resende ^{[1
]}

Soares, Nathayana de Sousa

Medeiros Mascarenhas, Marcio Denis ^{[1
]}

Lopes da Silva do Amaral, Elna Joelane ^{[2
,3
]}

机构：

[1] Fundacao Municipal Saude, Teresina, PI, Brazil

[2] Inst Doencas Tropicais Natan Portella, Prefeitura Municipal Ter, PI, Brazil

[3] Fundacao Municipal Saude, Prefeitura Municipal Ter, PI, Brazil

来源：

EPIDEMIOLOGIA E SERVICOS DE SAUDE | 2014年 / 23卷 / 01期

关键词：

Klebsiella pneumoniae; Cross Infection; Epidemiology; Intensive Care Units; Neonatal;

D O I：

10.5123/S1679-49742014000100017

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: to describe an intervention in an outbreak of extended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae in a neonatal intensive care unit (NICU) in Teresina, Piaui state, Brazil, 2010-2011. Methods: mycological examination was conducted using fingernail fragments and culture antibiogram. NICU Staff (2 nurses, 3 physicians and 6 nursing technicians) testing positive for ESBL-producing K. pneumoniae underwent specific drug-based treatment. Healthcare-associated infection (HCAI) prevention measures such as implementing care protocols and encouraging proper hand washing were adopted. Results: notifications of cases of ESBL-producing K. pneumoniae (n=21) decreased after the intervention. The frequency of HCAI due to ESBL-producing K. pneumoniae reduced from 67% in July 2010 to zero in May 2011. Conclusion: the implementation HCAI prevention actions was shown to be effective in reducing cases of infection related to ESBL-producing K. pneumoniae in the neonatal ICU, contributing to the improvement of epidemiological indicators and quality of care.

引用

页码：177 / 182

页数：6

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