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Investigation and Control of an Outbreak of Enterobacter aerogenes Bloodstream Infection in a Neonatal Intensive Care Unit in Fiji

Published online by Cambridge University Press:  02 January 2015

Swastika A. Narayan ,
Jacob L. Kool ,
Miriama Vakololoma ,
Andrew C. Steer ,
Amelita Mejia ,
Anne Drake ,
Adam Jenney ,
Jane F. Turton ,
Joseph Kado  and
Lisi Tikoduadua
Swastika A. Narayan*
Affiliation:
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji
Jacob L. Kool
Affiliation:
Office for the South Pacific, World Health Organization, Suva, Fiji
Miriama Vakololoma
Affiliation:
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji
Andrew C. Steer
Affiliation:
Centre for International Child Health, University of Melbourne, Melbourne, Australia
Amelita Mejia
Affiliation:
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji
Anne Drake
Affiliation:
Fiji School of Medicine, Suva, Fiji
Adam Jenney
Affiliation:
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji Centre for International Child Health, University of Melbourne, Melbourne, Australia
Jane F. Turton
Affiliation:
Laboratory of HealthCare Associated Infection, Centre for Infections, Health Protection Agency, London, United Kingdom
Joseph Kado
Affiliation:
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji
Lisi Tikoduadua
Affiliation:
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji
*
Pediatrics Department, Colonial War Memorial Hospital, GPO Box 115, Suva, FijiIslands (swastika_narayan@yahoo.com.au)
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Abstract

Ten neonates developed blood stream infection with extended-spectrum β-lactamase-producing Enterobacter aerogenes in a neonatal intensive care unit in Fiji. The source of the outbreak was traced to a bag of contaminated normal saline in the ward, which was used for multiple patients. All isolates recovered from patients were indistinguishable from the bacteria recovered from the normal saline by pulsed-field gel electrophoresis. The outbreak was controlled using simple infection control practices such as reinforcement of strict hand hygiene policy, provision of single use vials of normal saline, and strict aseptic technique for injections.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 8 , August 2009 , pp. 797 - 800
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Sohn, AH, Garrett, DO, Sinkowitz-Cochran, RL, et al.Prevalence of nosocomial infections in neonatal intensive care unit patients: results from the first national point-prevalence survey. J Pediatr 2001;139:821–827.CrossRefGoogle ScholarPubMed
2.Richards, MJ, Edwards, JR, Culver, DH, Gaynes, RP. Nosocomial infections in pediatric intensive care units in the United States. Pediatrics 1999;103:39–45.Google Scholar
3.Polak, JD, Ringler, N, Daugherty, B. Unit based procedures: impact on the incidence of nosocomial infections in the newborn intensive care unit. Newborn Infant Nurs Rev 2004;4:38–45.CrossRefGoogle Scholar
4.Couto, RC, Pedrosa, TM, Tofani Cde, P, Pedroso, ER. Risk factors for nosocomial infection in a neonatal intensive care unit. Infect Control Hosp Epidemiol 2006;27:571–575.Google Scholar
5.Elward, AM, McGann, KA. Steps to reduce nosocomial infections in children. Infect Med 2002;19:414–424.Google Scholar
6.Fraser, SL, Arnett, M, Sinave, CP. Enterobacter infections. eMedicine. Updated August 28, 2008. Available at: http://www.emedicine.com/med/topic678.htm. Accessed August 22, 2007.Google Scholar
7.Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing: 17th Informational Supplement. Wayne, PA: CLSI; 2007:M100-S17.Google Scholar
8.Turton, JF, Kaufmann, ME, Mustafa, N, Kawa, S, Clode, FE, Pitt, TL. Molecular comparison of isolates of Burkholderia multivorans from patients with cystic fibrosis in the United Kingdom. J Clin Microbiol 2003;41:5750–5754.CrossRefGoogle ScholarPubMed
9.Fok, TF, Lee, CH, Wong, EM, et al.Risk factors for Enterobacter septicemia in a neonatal unit: case control study. Clin Infect Dis 1998;27:1204–1209.CrossRefGoogle Scholar
10.Vergnano, S, Sharland, M, Kazembe, P, Mwansambo, C, Heath, PT. Neonatal sepsis: an international perspective. Arch Dis Child Fetal Neonatal Ed 2005;90:F220–224.Google Scholar