An outbreak of neonatal infection with Acinetobacter linked to contaminated suction catheters

An outbreak of multi-drug resistant Acinetobacter spp. infection in the neonatal unit at King Edward VIII hospital in Durban, South Africa, is described. Nine out of a total of 218 neonates were infected during the study period. The outbreak was characterized by early onset infection [median postnat...

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Bibliographic Details
Published in:The Journal of hospital infection 1999-12, Vol.43 (4), p.299-304
Main Authors: Pillay, T., Pillay, D.G., Adhikari, M., Pillay, A., Sturm, A.W.
Format: Article
Language:English
Subjects:
Acinetobacter
Acinetobacter - classification
Acinetobacter - drug effects
Acinetobacter - isolation & purification
Acinetobacter Infections - epidemiology
Acinetobacter Infections - etiology
Acinetobacter Infections - prevention & control
Acinetobacter spp
Anti-Bacterial Agents - pharmacology
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
catheters
Cross Infection - epidemiology
Cross Infection - etiology
Cross Infection - prevention & control
Disease Outbreaks - prevention & control
DNA, Bacterial - isolation & purification
Drug Resistance, Multiple
Equipment Contamination
Female
hospital acquired infection
Human bacterial diseases
Humans
Infant, Newborn
Infection Control
Infectious diseases
Male
Medical sciences
Microbial Sensitivity Tests
mutiple drug resistance
Newborn
outbreak
outbreaks
South Africa
South Africa - epidemiology
South Africa, Durban
Suction - instrumentation
suction catheter
Tropical medicine
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Summary:An outbreak of multi-drug resistant Acinetobacter spp. infection in the neonatal unit at King Edward VIII hospital in Durban, South Africa, is described. Nine out of a total of 218 neonates were infected during the study period. The outbreak was characterized by early onset infection [median postnatal age 3 days (range 1–23 days)] in pre-term babies [median gestational age 33 weeks (range 30–35 weeks)] with an attributable mortality of 22%. The source of the outbreak, determined by ribotyping, was presumed to be contaminated suction bottles and catheters in the neonatal admission room. Five neonates were successfully treated with ciprofloxacin and amikacin. Enforcement of strict infection control practices curtailed the outbreak.
ISSN:0195-6701
1532-2939
DOI:10.1016/S0195-6701(99)90426-7