Brote por Serratia marcescens en una Unidad de Cuidados Intensivos Neonatales: Guayaquil-Ecuador / Serratia marcescens outbreak in Neonatal Intensive Care Unit: Guayaquil, Ecuador
Rev. chil. infectol
;
33(6): 703-705, dic. 2016. ilus, tab
Article
in Spanish
| LILACS
| ID: biblio-1042631
ABSTRACT
We report a Serratia marcescens outbreak occurred in the NICU of a pediatric hospital in Guayaquil, Ecuador. Nine cases of infection were detected, from which septicemia was developed in 55.5%. The index case was a newborn derived from another institution with septic arthritis caused by the outbreak strain. The infection rate was 17.6% and mortality rate was 33.3%. All isolates were resistant to aminoglycosides and susceptible to third generation cephalosporins and carbapenems. Clonality analysis by pulsed-field gel electrophoresis (PFGE) revealed the presence of two closely related clones confirming the horizontal spread. Measures were taken by the committee such as: strengthening the hand hygiene, patient hygiene and cohort studies of gastrointestinal colonization, which allowed the control of the outbreak.
RESUMEN
Comunicamos un brote nosocomial por Serratia marcescens en una Unidad de Cuidados Intensivos en un hospital pediátrico de Guayaquil, Ecuador. Se detectaron nueve casos de infección, manifestándose en 55,5% de los casos como sepsis. El caso índice correspondió a un neonato derivado de otra institución con artritis séptica. La tasa de ataque fue 17,6% (n: 51) y la mortalidad 33,3%. Todos los aislados presentaron resistencia a las cefalosporinas y aminoglucósidos y sensibilidad a carbapenémicos. El análisis de clonalidad reveló la presencia de dos clones estrechamente relacionados, confirmando la diseminación horizontal. Las medidas de control de brote fueron: reforzamiento de higiene de manos, cohorte de los pacientes y búsqueda de colonización gastrointestinal.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Serratia marcescens
/
Intensive Care Units, Neonatal
/
Cross Infection
/
Disease Outbreaks
/
Serratia Infections
Type of study:
Observational study
/
Risk factors
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Country/Region as subject:
South America
/
Ecuador
Language:
Spanish
Journal:
Rev. chil. infectol
Journal subject:
Communicable Diseases
Year:
2016
Type:
Article
Affiliation country:
Ecuador
/
United States
Institution/Affiliation country:
Hospital del niño Dr. Francisco de Icaza Bustamante/EC
/
Instituto Nacional de Investigación en Salud Pública/EC
/
University of Georgia/US
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