Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive 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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| Format: | Article |
| Language: | Turkish |
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Galenos Yayinevi
2018-12-01
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| Series: | Mediterranean Journal of Infection, Microbes and Antimicrobials |
| Subjects: | |
| Online Access: | http://mjima.org/text.php?&id=142 |
| _version_ | 1828027929944129536 |
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| author | Selçuk NAZİK Şermin İNAL Ahmet Rıza ŞAHİN Sadık YURTTUTAN Selma ATEŞ |
| author_facet | Selçuk NAZİK Şermin İNAL Ahmet Rıza ŞAHİN Sadık YURTTUTAN Selma ATEŞ |
| author_sort | Selçuk NAZİK |
| collection | DOAJ |
| description | 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 the level 1 ICU, eight beds in the level 2 ICU and 17 beds in the level 3 ICU. Newborns in the NICU are hospitalised in the same ICU (room) in a mixed form. Enterococci were detected in blood culture samples of four patients in the NICU. Three of these cases were VRE and the other was VSE (vancomycin-sensitive enterococci). 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. |
| first_indexed | 2024-04-10T13:44:09Z |
| format | Article |
| id | doaj.art-0b4442d23a87432cb81229637337de62 |
| institution | Directory Open Access Journal |
| issn | 2147-673X |
| language | Turkish |
| last_indexed | 2024-04-10T13:44:09Z |
| publishDate | 2018-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Mediterranean Journal of Infection, Microbes and Antimicrobials |
| spelling | doaj.art-0b4442d23a87432cb81229637337de622023-02-15T16:11:01ZturGalenos YayineviMediterranean Journal of Infection, Microbes and Antimicrobials2147-673X2018-12-01710.4274/mjima.2018.29Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care UnitSelçuk NAZİK0Şermin İNAL1Ahmet Rıza ŞAHİN2Sadık YURTTUTAN3Selma ATEŞ4Kahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Kahramanmaraş, TurkeyKahramanmaraş Sütçü İmam University Faculty of Medicine, Infection Control Committee Nursing, Kahramanmaraş, TurkeyKahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Kahramanmaraş, TurkeyKahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Child Health and Diseases, Clinic of Neonatal Intensive Care, Kahramanmaraş, TurkeyKahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Kahramanmaraş, TurkeyIntroduction: 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 the level 1 ICU, eight beds in the level 2 ICU and 17 beds in the level 3 ICU. Newborns in the NICU are hospitalised in the same ICU (room) in a mixed form. Enterococci were detected in blood culture samples of four patients in the NICU. Three of these cases were VRE and the other was VSE (vancomycin-sensitive enterococci). 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.http://mjima.org/text.php?&id=142Nurseoutbreakinfrastructureinvestigationeducation |
| spellingShingle | Selçuk NAZİK Şermin İNAL Ahmet Rıza ŞAHİN Sadık YURTTUTAN Selma ATEŞ Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care Unit Mediterranean Journal of Infection, Microbes and Antimicrobials Nurse outbreak infrastructure investigation education |
| title | Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care Unit |
| title_full | Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care Unit |
| title_fullStr | Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care Unit |
| title_full_unstemmed | Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care Unit |
| title_short | Retrospective Evaluation of Vancomycin-resistant Enterococci Outbreak in Neonatal Intensive Care Unit |
| title_sort | retrospective evaluation of vancomycin resistant enterococci outbreak in neonatal intensive care unit |
| topic | Nurse outbreak infrastructure investigation education |
| url | http://mjima.org/text.php?&id=142 |
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