Outbreak of Serratia marcescens in the Neonatal Intensive Care Unit of a Tertiary Care Hospital in Mexico.

Advances in Medicine Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI:10.1155/2023/3281910
Martha Guel-Gomez, Uriel A Angulo-Zamudio, Nidia Leon-Sicairos, Hector Flores-Villaseñor, Edna Mendívil-Zavala, Amparo Plata-Guzmán, Jesus J Martinez-Garcia, Jorge Angulo-Rocha, Rosangela Ochoa-Espinoza, Paola Crespo-Palazuelos, Jesús Bracamontes-Murillo, Angel León-Ramírez, Juan C Rodriguez-Ceceña, Adrian Canizalez-Roman
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Abstract

Introduction: We describe an outbreak of Serratia marcescens (S. marcescens) infection in the neonatal intensive care unit at Women's Hospital in Sinaloa, Mexico.

Methods: In April 2021, an outbreak of S. marcescens infection was identified. A case was identified as any patient who tested positive for S. marcescens and showed signs of an infectious process.

Results: S. marcescens was isolated from the blood cultures of 15 neonates with clinical signs of neonatal sepsis. Statistical analysis showed that all neonates had an invasive medical device. The problem was controlled after hospital hygiene and sanitation measures were strengthened.

Conclusion: The study provides evidence of an outbreak of nosocomial bacteremia due to the cross-transmission of S. marcescens. The findings highlight the need for hospitals to implement strict hygiene measures, especially regarding hand washing, to prevent future outbreaks.

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墨西哥一家三级护理医院新生儿重症监护室爆发粘质沙雷氏菌疫情。
引言:我们描述了墨西哥锡那罗亚妇女医院新生儿重症监护室爆发的粘质沙雷氏菌感染。方法:2021年4月,发现了粘质沙雷氏菌感染的爆发。一个病例被确定为任何粘质链霉菌检测呈阳性并显示出感染过程迹象的患者。结果:从15例有新生儿败血症临床症状的新生儿血培养物中分离到粘质链霉菌。统计分析显示,所有新生儿都使用了侵入性医疗器械。在加强医院卫生和环境卫生措施后,这个问题得到了控制。结论:本研究提供了由于粘质链霉菌的交叉传播而爆发医院菌血症的证据。研究结果强调,医院需要实施严格的卫生措施,特别是洗手,以防止未来疫情的爆发。
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