IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v10y2013i3p808-815d23800.html
   My bibliography  Save this article

Outbreak of Ampicillin/Piperacillin-Resistant Klebsiella Pneumoniae in a Neonatal Intensive Care Unit (NICU): Investigation and Control Measures

Author

Listed:
  • Giuliana Fabbri

    (Health Care Management, Bologna Local Health Trust, Via Castiglione 29, 40124 Bologna, Italy)

  • Manuela Panico

    (Hospital Directorate, Bologna Local Health Trust, Maggiore Hospital, Largo Nigrisoli 2, 40100 Bologna, Italy)

  • Laura Dallolio

    (Department of Biomedical and Neuromotor Sciences, University of Bologna, Via San Giacomo 12, 40126 Bologna, Italy)

  • Roberta Suzzi

    (Hospital Directorate, Bologna Local Health Trust, Bellaria Hospital, Via Altura 3, 40139 Bologna, Italy)

  • Matilde Ciccia

    (Neonatal Intensive Care Unit , Bologna Local Health Trust, Maggiore Hospital, Largo Nigrisoli 2, 40100 Bologna, Italy)

  • Fabrizio Sandri

    (Neonatal Intensive Care Unit , Bologna Local Health Trust, Maggiore Hospital, Largo Nigrisoli 2, 40100 Bologna, Italy)

  • Patrizia Farruggia

    (Hospital Directorate, Bologna Local Health Trust, Bellaria Hospital, Via Altura 3, 40139 Bologna, Italy)

Abstract

Klebsiella pneumoniae is a frequent cause of infectious outbreaks in Neonatal Intensive Care Units (NICUs). The aim of this paper is to describe an outbreak occurred in a 13-bed NICU and the control measures adopted in order to interrupt the chain of transmission. We described the microbiological investigations, the NICU staff compliance to the infection control measures by means of a specifically designed check-list and the control measures adopted. Six cases of primary bloodstream infections sustained by ampicillin/piperacillin-resistant Klebsiella pneumoniae were observed over a two-month period. One culture obtained from a 12% saccarose multiple-dose solution allowed the growth of Klebsiella pneumoniae . During the inspections performed by the Hospital Infection Control Team, using the check-list for the evaluation of the NICU staff compliance to the infection control measures, several breaches in the infection control policy were identified and control measures were adopted. In our case the definition of a specific check-list led to the adoption of the correct control measures. Further studies would be helpful in order to develop a standard check-list able to identify critical flows in the adhesion to the guidelines. It could be used in different NICUs and allow to obtain reproducible levels of infection control.

Suggested Citation

  • Giuliana Fabbri & Manuela Panico & Laura Dallolio & Roberta Suzzi & Matilde Ciccia & Fabrizio Sandri & Patrizia Farruggia, 2013. "Outbreak of Ampicillin/Piperacillin-Resistant Klebsiella Pneumoniae in a Neonatal Intensive Care Unit (NICU): Investigation and Control Measures," IJERPH, MDPI, vol. 10(3), pages 1-8, February.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:3:p:808-815:d:23800
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/10/3/808/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/10/3/808/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Greta Roncarati & Laura Dallolio & Erica Leoni & Manuela Panico & Angela Zanni & Patrizia Farruggia, 2017. "Surveillance of Clostridium difficile Infections: Results from a Six-Year Retrospective Study in Nine Hospitals of a North Italian Local Health Authority," IJERPH, MDPI, vol. 14(1), pages 1-13, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:10:y:2013:i:3:p:808-815:d:23800. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.