Nosocomial Infection in the Neonatal Ward of a Tertiary Care Hospital: The Role of Active Surveillance in the Control of Klebsiella pneumoniae Outbreak
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 10, Issue 9
Abstract
Aim: To describe an outbreak which occurred in a neonatal ward and the role of active surveillance in the control of further outbreaks. Study Design: Cross Sectional Observational Study. Place and Duration of Study: Lady Hardinge Medical College and Associated Hospitals, between May 2013 and June 2014. Methodology: The Infection Control Team (ICT) conducts active surveillance in the neonatal ward (NNW) routinely every year. The data regarding the above mentioned period were analysed and infection rates were calculated on monthly basis and compared. Attack rate was calculated as number of patients who acquired hospital acquired infections/ total number of admissions during that month. Results: A sudden increase in bloodstream infection (BSI) from 2 cases to 16 cases were observed over a period of 2 months (November 2013, and December 2013). Therefore an outbreak was suspected. Sixteen cases of primary blood stream infections caused by ceftazidime/ amoxicillin – clavulanic acid -resistant Klebsiella pneumoniae were observed over a two month period. Case definition was made. Recommendations for Infection control practices with immediate effect were sent. The ICT visited NNW and main labour room. Relevant samples were collected and Klebsiella species was isolated from suction tubing, baby cot, feeding katori, fingertip of health care worker (HCW) and soap sludge. Bacterial identification and antimicrobial susceptibility testing was performed by using the automated Vitek 2 instrument. The antibiogram of Klebsiella species from the samples and cases was found to be similar. It was found that NNW staff was changed recently without any training in Infection control practices. There was breach in Infection control practices. Conclusion: Active surveillance plays a very important role in detection of early onset of outbreak. All the HCWs including resident doctors, nursing and subsidiary staff and others must be trained in Infection control practices before they are posted to high risk areas.
Authors and Affiliations
Poonam Gupta, Shivani Satia, Manoj Jais, Sushma Nangia, Sanjib Gogoi, Suraiya K. Ansari
Keywords
Related Articles
- EP ID EP348520
- DOI 10.9734/BJMMR/2015/19529
- Views 53
- Downloads 0
Contrast-enhanced Ultrasound in the Assessment of the Transitional Zone of Microwave Ablations in an Ex vivo Perfused Liver Model; is It a Useful Tool?
Background and Aims: Microwave ablation (MWA) under different imaging guidance is a new technique for treating liver malignancies. The ablation creates a transitional zone at the periphery of the ablated region. In this...
A Case Report of Peripheral –Type Ameloblastic Fibrodentinoma and a Review
Ameloblastic fibrodentinoma (AFD) is a rare benign tumor usually interpreted as a neoplasm similar to ameloblastic fibroma (AF), characterized by formation of dysplastic dentin on histopathological diagnosis. Peripheral...
Safety of Cupping Therapy in Studies Conducted in Twenty One Century: A Review of Literature
Background: Cupping therapy is a well-known traditional treatment modality, and has been used in various diseases around the world since ancient times. This method is reported to have a better clinical as well as adverse...
Erythrocyte Transfusion and Alloimmunisation Patterns among Sickle Cell Disease Patients, Benin City, Nigeria
Introduction: Blood transfusion remains a mainstay therapy in sickle cell disease (SCD).Transfusional therapy may be complicated by allo-immunisation due to exposure to foreign red cell antigens. However, the prevalence...
Occupational Stress among Emergency Department (ED) Staff and the Need for Investment in Health Care; a View from Pakistan
Aims: To identify the frequency of occupational stress and its contributing factors (stressors) existing among healthcare providers working in the Emergency Department (ED) of tertiary care hospitals of Karachi. Study D...