An outbreak due to multidrug-resistant Klebsiella pneumoniae in Neonatal Intensive Care Unit
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Tarih
1997
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
An outbreak of neonatal septicemia due to Klebsiella pneumonias have been detected in Neonatal Care Unit, Dicle University Hospital, between the period of October 1996-March 1997. Septicemia was diagnosed in 105 cases by clinical features and routine laboratory findings but only 68 (64.8%) of them were included to the study by at least one blood culture positivity. Cultivation of the blood samples was performed in PEDS Plus/F Medium BACTEC 9240 system. The beta lactamase production and the antibiotic susceptibilities were tested on Sceptor panel and MIC Identification panel respectively, and all the 30 K. pneumoniae strains were found beta lactamase positive and multidrug resistant. K. pneumoniae (44.1%) was followed by coagulase-negative Staphylococci (22%) and Enterobacter spp. (11.8%) those isolated from blood cultures. As the identical strain of K. pneumoniae was isolated from the environmental cultures of nursery in Obstetrics Department as well, it is concluded that the source of the infection was the environment. The majority of K. pneumoniae strains showed high sensitivity to ciprofloxacin (100%) and imipenem (96.6%) but they were resistant to ceftazidime, tobramicin, mezlocillin, ticarcillin, cefazolin, gentamycin and ampicillin. After an education programme given to the personnel, only one case was detected in March 1997.
Açıklama
Anahtar Kelimeler
K. Pneumoniae, Neonatal Septicemia, Nosocomial İnfections
Kaynak
Mikrobiyoloji Bulteni
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
31
Sayı
2
