Successful Control of Extended-spectrum Beta-lactamase-producing Klebsiella pneumoniae Outbreak in a Neonatal Intensive Care Unit / 병원감염관리
Korean Journal of Nosocomial Infection Control
; : 26-32, 2013.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-80403
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Extended-spectrum beta-lactamase-producing (ESBL) Klebsiella pneumoniae is an important cause of nosocomial infections in neonatal intensive care units (NICUs). This study aimed to reduce ESBL-producing K. pneumoniae in the NICU by using infection control measures.METHODS:
We performed prospective surveillance cultures, monitoring, and education for infection control in the NICU between May and August 2011. Specimens were collected from all infants and the environment including stethoscopes, thermometers, ventilators, incubators, etc. The anterior nares and hands of healthcare workers were also screened. We inspected infection control practices and provided feedback. The level of infection control awareness was measured using a questionnaire.RESULTS:
The level of awareness and performance of hand washing increased significantly after intervention (both P<0.001). The environmental management of healthcare providers also improved significantly (P=0.001). The yield of ESBL-producing K. pneumoniae from clinical specimens decreased gradually throughout the study period (30.4% in May to 12.6% in August). Central catheter-related K. pneumoniae bacteremia decreased from 1.3/1000 to 0/1000 catheter-days.CONCLUSION:
Infection control measures including education, monitoring, and surveillance can lower the incidence of ESBL-producing K. pneumoniae in the NICU.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
Neglected Diseases
/
SDG3 - Target 3.3 End transmission of communicable diseases
Health problem:
Goal 9: Noncommunicable diseases and mental health
/
Target 3.3: End transmission of communicable diseases
/
Target 3.4: Reduce premature mortality due to noncommunicable diseases
/
Neglected Diseases
/
Zoonoses
/
Pneumonia
/
Sepsis
Database:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Thermometers
/
Beta-Lactamases
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Intensive Care Units, Neonatal
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Ventilators, Mechanical
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Intensive Care, Neonatal
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Hand Disinfection
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Cross Infection
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Incidence
/
Prospective Studies
Type of study:
Incidence study
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Observational study
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Prognostic study
Aspects:
Social determinants of health
Limits:
Humans
/
Infant
/
Infant, Newborn
Language:
Korean
Journal:
Korean Journal of Nosocomial Infection Control
Year:
2013
Document type:
Article