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Nosocomial neonatal septic arthritis
F Abuekteish1, A S Daoud, M Mesmar
1Department of Paediatrics, Jordan University of Science and Technology, Irbid, Jordan.
European Journal of Pediatrics
|February 1, 1996
Summary
Klebsiella species caused neonatal septic arthritis in a neonatal intensive care unit, primarily affecting the hip. Contaminated sheets on delivery and resuscitation tables spread the infection, but control measures slowed the outbreak.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Epidemiology
Background:
- Neonatal septic arthritis is a serious condition requiring prompt diagnosis and treatment.
- Nosocomial infections pose a significant threat in neonatal intensive care units (NICUs).
- Klebsiella species are known opportunistic pathogens in healthcare settings.
Purpose of the Study:
- To investigate an outbreak of neonatal septic arthritis at Princess Badia' Teaching Hospital.
- To identify the causative pathogen, common joint involvement, and transmission routes.
- To evaluate the effectiveness of control measures implemented during the outbreak.
Main Methods:
- Retrospective case series analysis of 17 neonatal septic arthritis cases.
- Epidemiological survey to determine the source and spread of infection.
- Microbiological analysis to identify the causative agent (Klebsiella species).
Main Results:
- Klebsiella species caused 59% of the 17 neonatal septic arthritis cases.
- The hip joint was involved in 94% of cases.
- Contaminated delivery and resuscitation table sheets were identified as the source of Klebsiella transmission.
Conclusions:
- Klebsiella species represent a significant cause of nosocomial septic arthritis in neonates.
- Contaminated linens are a potential vector for pathogen transmission in NICUs.
- Implementing strict infection control measures is crucial for managing and preventing outbreaks.