1343 Vancomycin Resisstant Enterococci (VRE) Colonisation in A NICU

• Published in: Archives of disease in childhood 2012-10, Vol.97 (Suppl 2), p.A382-A383
• Main Authors: Guven, F, Say, A, Degirmenci, S, Kulcu, N Uygur, Sabuncu, T, Inalhan, M
• Format: Article
• Language: English
• Subjects: Antibiotics; Colonization; Dehydration; Hospitals; Neonates
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2012-302724.1343

Nowadays antibiotic resistant bacteria are found in community but more frequently in hospital environments. Development of resistant bacteria (gram positive cocci, esp.enterococci) to glycopeptide antibiotics are becoming important. On behalf of infection, control after detection of VRE surveillance studies must be performed. To determine and control the rectal VRE colonisation in our NİCU the rectal swabs of 760 neonates were taken and send to the laboratory at admission for the last year, 2011. VRE was isolated in 12 (1.6%) of the neonates. 6 of the neonates (50%) were born in public hospitals and 50% in private hospitals. To prevent the outbreaks in NİCU we isolated the babies. Non of the babies were treated with vancomycin. The blood cultures were negative in all of them inspite of positive rectal colonisation. The diagnosis of these babies were as follows: 7/12 neonatal jaundice, 2/12 neonatal dehydration, 1/12 urinary tract infection, 1/12 bronchopneumonia, 1/12 preseptal cellulitis. Median hospital stay was 10 days(3–29 days). 2/3 of newborn were born with C/S delivery, there was no hospitalisation history. Conclusion We wanted to emphasize the uncontrolled use of antibiotics can be a problem in future therefore surveillance studies should be performed.