Outbreak of Ampicillin/Piperacillin-Resistant Klebsiella Pneumoniae in a Neonatal Intensive Care Unit (NICU): Investigation and Control Measures

Giuliana Fabbri, Manuela Panico, Laura Dallolio, Roberta Suzzi, Matilde Ciccia, Fabrizio Sandri and Patrizia Farruggia
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Giuliana Fabbri: Health Care Management, Bologna Local Health Trust, Via Castiglione 29, 40124 Bologna, Italy
Manuela Panico: Hospital Directorate, Bologna Local Health Trust, Maggiore Hospital, Largo Nigrisoli 2, 40100 Bologna, Italy
Laura Dallolio: Department of Biomedical and Neuromotor Sciences, University of Bologna, Via San Giacomo 12, 40126 Bologna, Italy
Roberta Suzzi: Hospital Directorate, Bologna Local Health Trust, Bellaria Hospital, Via Altura 3, 40139 Bologna, Italy
Matilde Ciccia: Neonatal Intensive Care Unit , Bologna Local Health Trust, Maggiore Hospital, Largo Nigrisoli 2, 40100 Bologna, Italy
Fabrizio Sandri: Neonatal Intensive Care Unit , Bologna Local Health Trust, Maggiore Hospital, Largo Nigrisoli 2, 40100 Bologna, Italy
Patrizia Farruggia: Hospital Directorate, Bologna Local Health Trust, Bellaria Hospital, Via Altura 3, 40139 Bologna, Italy

IJERPH, 2013, vol. 10, issue 3, 1-8

Abstract: Klebsiella pneumoniae is a frequent cause of infectious outbreaks in Neonatal Intensive Care Units (NICUs). The aim of this paper is to describe an outbreak occurred in a 13-bed NICU and the control measures adopted in order to interrupt the chain of transmission. We described the microbiological investigations, the NICU staff compliance to the infection control measures by means of a specifically designed check-list and the control measures adopted. Six cases of primary bloodstream infections sustained by ampicillin/piperacillin-resistant Klebsiella pneumoniae were observed over a two-month period. One culture obtained from a 12% saccarose multiple-dose solution allowed the growth of Klebsiella pneumoniae . During the inspections performed by the Hospital Infection Control Team, using the check-list for the evaluation of the NICU staff compliance to the infection control measures, several breaches in the infection control policy were identified and control measures were adopted. In our case the definition of a specific check-list led to the adoption of the correct control measures. Further studies would be helpful in order to develop a standard check-list able to identify critical flows in the adhesion to the guidelines. It could be used in different NICUs and allow to obtain reproducible levels of infection control.

Keywords: Klebsiella pneumonia; neonatal intensive care units; disease outbreak; infection control (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2013
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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