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A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Serratia marcescens infections and outbreaks in neonatal intensive care units
1Neonatal Intensive Care Unit, Azienda Mista Ospedaliero Universitaria, Italy.
Abstract:
Serratia marcescens is an important cause of hospital-acquired infections, especially in neonatal intensive care units (NICUs). This review analyzes clinical signs, risk factors, biotyping and sources of infection in newborns exhibited by this bacteria as well as the therapy which is commonly used and management. This review examines the reported cases of outbreaks of S. marcescens in NICUs published in pubmed over the last 10 years (key words: Serratia marcescens infections, outbreaks, Neonatal intensive Care Units). This report highlights the different prevention and control strategies employed in order to eradicate Serratia outbreaks in NICUs, including all healthcare procedures such as hand washing, introduction of alcohol-based antiseptic gel, enhanced cleaning and disinfection of medical equipment and wards, use of single-patient medical instruments, cohorting of colonized and infected infants, periodic screening cultures, earliest discharge of the infants.
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.
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