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Outbreak of extended spectrum β lactamase producingKlebsiella pneumoniae in a neonatal unit
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  1. Jennifer Roylea,
  2. Sharon Halaszb,
  3. Gillian Eaglesb,
  4. Gwendolyn Gilbertb,
  5. Dianne Daltona,
  6. Peter Jelfsc,
  7. David Isaacsa
  1. aDepartment of Immunology and Infectious Diseases, Royal Alexandra Hospital for Children, PO Box 3515 Parramatta NSW 2124 Australia, bDepartment of Microbiology, cDepartment of Microbiology Westmead Hospital Westmead
  1. Associate Professor David Isaacs. Email: davidi{at}nch.edu.au

Abstract

An outbreak of extended spectrum β lactamase producingKlebsiella pneumoniae (ESBLKp) in a neonatal unit was controlled using simple measures. Normally, the control of such infections can be time consuming and expensive. Seven cases of septicaemia resulted in two deaths. ESBLKp isolates were subtyped by pulsed field gel electrophoresis, and four of the five isolates typed were identical. Control of the outbreak was achieved by altered empiric antibiotic treatment for late onset sepsis and prevention of cross infection by strict attention to hand washing. Widespread colonisation of babies in the unit was presumed, so initial surveillance cultures were not performed. No further episodes of sepsis occurred.

  • β lactamase producing Klebsiella pneumoniae
  • antibiotic resistance
  • hygiene
  • sepsis
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