Retrospective Evaluation of Vancomycin Resistant Enterococci Outbreak in Neonatal Intensıve Care Unit

Introduction: Vancomycin-resistance in Enterococci (VRE) poses a major threat in hospitals. It is well known that patients in the neonatal intensive care unit (NICU) is especially at risk of nosocomial VRE acquisition. In this study, it was aimed to present the VRE outbreak analysis identified in NI...

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Bibliographic Details
Published in:Mediterranean journal of infection, microbes & antimicrobials microbes & antimicrobials, 2018-01, Vol.7
Main Authors: NAZİK, Selçuk, İNAL, Şermin, ŞAHİN, Ahmet Rıza, YURTTUTAN, Sadık, ATEŞ, Selma
Format: Article
Language:eng ; tur
Subjects:
Antibiotics
Blood culture
Colonization
education
Hospitals
infrastructure
investigation
Neonates
Nurse
outbreak
Outbreaks
Vancomycin
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Summary:Introduction: Vancomycin-resistance in Enterococci (VRE) poses a major threat in hospitals. It is well known that patients in the neonatal intensive care unit (NICU) is especially at risk of nosocomial VRE acquisition. In this study, it was aimed to present the VRE outbreak analysis identified in NICU. Materials and Methods: Patients with VRE colonization and infection were included in the study between 17.10.2016 - 30.03.2017 in NICU. Results: There are a total of 30 beds in the NICU, including five beds in first level ICU, eight beds in second level ICU and 17 beds in third level ICU. Enterococci were detected in blood culture samples of four patients in the NICU. Three of these cases were VRE and the other was VSE. The most important problem identified in the NICU was the inability to use the interior architecture effectively. In addition, inadequate nurse both in number and level of education and lack of night observations were identified as other problems. Conclusion: As a result, the outbreak in NICU was controlled thanks to educated nurse support, frequent visits and change in interior architecture.
ISSN:2147-673X
2147-673X
DOI:10.4274/mjima.2018.29