Two outbreaks of mixed etiology associated with central venous catheters inserted by phlebotomy in critical neonates

Brazilian Journal of Infectious Diseases

Volumn 13, Issue 3, 2009, Pages 177-182

  De Brito, Denise Von Dolinger ^a   Von Dolinger, Elias J O ^a   Abdallah, Vânia O S ^a   Darini, Ana Lúcia C ^b   Gontijo Filho, Paulo P ^a  

^a FEDERAL UNIVERSITY OF UBERLÂNDIA   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Central venous catheter; Neonates; Outbreak

Indexed keywords

AMPICILLIN; ANTIBIOTIC AGENT; BACTERIAL DNA; CHLORAMPHENICOL; CIPROFLOXACIN; CLINDAMYCIN; GENOMIC DNA; GENTAMICIN; IMIPENEM; OXACILLIN; POLYETHYLENE; RIFAMPICIN; SULTAMICILLIN; TETRACYCLINE; VANCOMYCIN;

ANTIBIOTIC RESISTANCE; ANTIBIOTIC SENSITIVITY; ARTICLE; BACTERIAL PNEUMONIA; BACTERIUM CULTURE; CASE CONTROL STUDY; CATHETER INFECTION; CENTRAL VENOUS CATHETER; CLINICAL ARTICLE; COAGULASE NEGATIVE STAPHYLOCOCCUS; CONJUNCTIVITIS; CONTROLLED STUDY; DISEASE PREDISPOSITION; EPIDEMIC; FEMALE; GENOTYPE; HOSPITALIZATION; HUMAN; INCIDENCE; INFANT; LENGTH OF STAY; MALE; MINIMUM INHIBITORY CONCENTRATION; NEWBORN; NEWBORN INFECTION; NEWBORN INTENSIVE CARE; NEWBORN SEPSIS; NONHUMAN; OTITIS; PHLEBOTOMY; PULSED FIELD GEL ELECTROPHORESIS; RHINITIS; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; STAPHYLOCOCCUS INFECTION;

ANTI-BACTERIAL AGENTS; BRAZIL; CATHETERIZATION, CENTRAL VENOUS; COAGULASE; CROSS INFECTION; DISEASE OUTBREAKS; ELECTROPHORESIS, GEL, PULSED-FIELD; FEMALE; HUMANS; INFANT, NEWBORN; INTENSIVE CARE UNITS, NEONATAL; MALE; MICROBIAL SENSITIVITY TESTS; PHLEBOTOMY; STAPHYLOCOCCAL INFECTIONS; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS;

EID: 77749283198     PISSN: 14138670     EISSN: None     Source Type: Journal    
DOI: 10.1590/S1413-86702009000300005     Document Type: Article

References (20)

1. Makhoul I.R., Smolkin T., Sujov P., et al. PCR- based diagnosis of neonatal staphylococcal bacteremias. J Clin Microbiol 2005;43:4823-5.
2. Spanu T., Sanguinetti M., D'Inzeo T., et al. Identification of methicillin-resistant isolates of Staphylococcus aureus and coagulase negative Staphylococcus responsible for bloodstream infections with Phoenix TM system. Diagn Microbiol Infect Dis 2004;48:221-7.
3. Lally R.T., Lanz E., Schrock C.G., Minnesota R. Rapid control of an outbreak of Staphylococcus aureus on a Neonatal Intensive Care department using standard infection control practices and nasal mupirocin. Am J Infect Control 2004;32:44-7.
4. Nunes A.P.F., Teixeira L.M., Bastos C.C.R., et al. Genomic characterization of oxacillin-resistant Staphylococcus epidermidis and Staphylococcus haemolyticus isolated from Brazilian medical centres. J Hosp Infect 2005;59:19-26.
5. Klein M.D., Rood K., Graham P. Central venous catheter sepsis in surgical newborns. Pediatr Surg Int 2003;19:529-32.
6. th ed., v.20, Approved Standard M7-A5. Wayne, Pennsylvania, 2005.
7. Tenover F.C., Arbeit R., Goering R.V., et al. Interpreting chromosomal DNA restriction patterns produced by pulsed field gel electrophoresis criteria for bacterial strain typing. J Clin Microbiol 1995;33:2233-9.
8. Sellick J.A. The use of statistical process control charts in hospital epidemiology. Infect Control Hosp Epidemiol 1993;14:649-56.
9. Harris J.S. Pediatrics nosocomial infections: children are not little adults. Infect Control Hosp Epidemiol 1997;18:739-42.
10. Pawa A.K., Ramji S., Prakash K., Thirupuram S. Neonatal nosocomial infection: profile and risk factors. Ind Pediatr 1997;34:297-302.
11. Graham P.L., Morel A.S., Zhou J., Wu F. et al. Epidemiology of methicillin-susceptible Staphylococcus aureus in the Neonatal Intensive Care Unit. Infect Control Hosp Epidemiol 2002;23:677-82.
12. Villari P., Sarnataro C., Iacuzio L. Molecular epidemiology of Staphylococcus epidermidis in a Neonatal Intensive Care Unit over a three year period. J Clin Microbiol 2000;38:1740-6.
13. Corbella X., Dominguez M.A., Pujol M. et al. Staphylococcus aureus nasal carriage as a marker for subsequent staphylococcal infections in intensive care unit patients. Eur J Clin Microbiol Infect Dis 1997;16:351-7.
14. Raimundo O., Heussler H., Bruhn J.B. et al. Molecular epidemiology of coagulase-negative staphylococcal bacteraemia in a newborn intensive care unit. J Hosp Infect 2002;51:33-42.
15. Andersen B.M., Lindemann R., Bergh K. et al. Spread of methicillinresistant Staphylococcus aureus in a neonatal intensive unit associated with understaffing, overcrowding and mixing of patients. J Hosp Infect 2002;50:18-24.
16. Loureiro M.M., Moraes B.A., Quadra M.R.R. et al. Study of multidrug resistant microorganisms isolated from blood cultures of hospitalized newborns in Rio de Janeiro city, Brazil. Braz J Microbiol 2002;33:73-8.
17. Talon D., Woronoff-Lemsi M.C., Limat S. et al. The impact of resistance to methicillin in Staphylococcus aureus bacteremia on mortality. Europ J Intern Med 2002;13:31-6.
18. Vergunta R.K., Loethen P., Wallace L.J. et al. Differences in the outcome of surgically placed long-term central venous catheters in neonates: neck vs groin placement. J Pediatr Surg 2005;40:47-51.
19. Bertin M.L., Vinski J., Schmitt S. et al. Outbreak of methicillinresistant Staphylococcus aureus colonization and infection in a neonatal intensive care unit epidemiologically linked to a healthcare worker with chronic otitis. Infect Control Hosp Epidemiol 2006;27:581-5.
20. Björkqvist M., Söderquist B.O., Törnqvist E.V.A. et al. Phenotypic and genotypic characterization of blood isolates of coagulase-negative staphylococci in the newborn. APMIS 2002;110:332-9.