Title of article :
A cluster of nosocomial Klebsiella pneumoniae bloodstream infections in a neonatal intensive care department: identification of transmission and intervention
Author/Authors :
Petra Gastmeier، نويسنده , , Katrin Groneberg، نويسنده , , Klaus Weist، نويسنده , , Henning Rüden، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2002
Abstract :
A cluster of nosocomial Klebsiella pneumoniae bloodstream infections in a neonatal intensive care department: identification of transmission and intervention Original Research Article
Pages 424-430
Petra Gastmeier, Katrin Groneberg, Klaus Weist, Henning Rüden
Close Close preview | Purchase PDF (199 K) | Related articles | Related reference work articles
AbstractAbstract | Figures/TablesFigures/Tables | ReferencesReferences
Abstract
Objective
We sought to determine the cause and mode of transmission of a cluster of bloodstream infections as a result of Klebsiella pneumoniae.
Design and setting
We conducted a prospective cohort study in a neonatal intensive care department from May 1999 to December 2000.
Methods
We performed surveillance of nosocomial infections, and clinical and environmental investigations.
Results
During an 8-week period, 5 cases of K pneumoniae bloodstream infections were observed, at least 3 of them belonging to the same genotype. Before the second case developed any symptoms of infection, the same strain had also been found in the patient environment. Intervention measures were, therefore, immediately introduced. Further cases, however, occurred in the following weeks. Even after further intervention activities and the end of the outbreak, the same strain was discovered in environmental samples from a stethoscope and a nurseʹs hand.
Conclusions
Even where there is acute awareness of the problem and a generally high infection control level in a department, it is difficult to change behavior in such a way that further nosocomial infections can be totally excluded.
Article Outline
• Methods
• The NICU
• Microbiologic investigation
• Typing of clinical samples
• Environmental samples
• Results and intervention
• Typing of clinical samples
• Environmental samples
• Intervention
• Discussion
• References
Journal title :
American Journal of Infection Control (AJIC)
Journal title :
American Journal of Infection Control (AJIC)