Serratia marcescens infections and outbreaks in neonatal intensive care units

A Dessì1, M Puddu, M Testa

  • 1Neonatal Intensive Care Unit, Azienda Mista Ospedaliero Universitaria, Italy.

Insights

Serratia marcescens outbreaks are a significant threat in neonatal intensive care units (NICUs). This review details prevention and control strategies to combat these hospital-acquired infections in newborns.

Area of Science:

  • Infectious Diseases
  • Neonatology
  • Hospital Epidemiology

Background:

  • Serratia marcescens is a notable cause of hospital-acquired infections, particularly within neonatal intensive care units (NICUs).
  • Neonatal populations are especially vulnerable to severe outcomes from these infections.

Purpose of the Study:

  • To review clinical signs, risk factors, sources, and management of Serratia marcescens infections in newborns.
  • To analyze outbreaks of Serratia marcescens in NICUs over the past decade.
  • To highlight effective prevention and control strategies for Serratia outbreaks in NICUs.

Main Methods:

  • Systematic review of published literature on PubMed concerning Serratia marcescens outbreaks in NICUs within the last 10 years.
  • Analysis of clinical data, epidemiological factors, and therapeutic interventions reported in the selected studies.

Main Results:

  • Identified key clinical manifestations, risk factors, and common sources of Serratia marcescens infection in neonates.
  • Documented various outbreak scenarios and their impact on NICU environments.
  • Summarized commonly employed therapeutic approaches and management protocols.

Conclusions:

  • Effective management of Serratia marcescens in NICUs requires a multi-faceted approach.
  • Stringent infection control measures, including hygiene, disinfection, and patient management, are crucial for preventing and controlling outbreaks.
  • Continuous vigilance and implementation of evidence-based strategies are essential to protect vulnerable newborns.

Related Concept Videos

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...