预防因地震创伤而转移的婴儿引起的可能的抗万科素抗性肠球菌疫情
Esma Eryilmaz Eren1, Hüsniye Şimşek2, Esma Saatçi3
1Department of Infectious Disease and Clinical Microbiology, University of Health Sciences, Kayseri, Turkey; Department of Clinical Bacteriology and Infectious Diseases, Preventing Hospital Infections Doctorate Programme, Institute of Health Sciences, Erciyes University, Kayseri, Turkey; Infection Control Committee, Kayseri City Training and Research Hospital, Kayseri Turkey.
American journal of infection control
|November 10, 2024
概括
在大地震后,被转移到新生儿重症监护室的婴儿可能携带抗万科米辛的Enterococcus (VRE) 菌株. 查和隔离在这个脆弱人群中防止了潜在的VRE爆发.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 微生物学 微生物学
背景情况:
- 大型灾害可能会破坏已建立的感染控制协议.
- 医院间或医院内转移存在传播多抗药生物体的风险.
- 新生儿重症监护室 (NICU) 由于患者的敏感性,特别容易受到疫情爆发的影响.
研究的目的:
- 为了调查在地震后转移的婴儿中可能爆发的抗万科米辛抗性肠杆菌菌株 (VRE).
- 评估感染控制措施在预防NICU环境中VRE传播方面的有效性.
- 分析转移婴儿中发现的VRE菌株的克隆相关性.
主要方法:
- 在住院期间,从婴儿身上收集了直肠拭子以查培养.
- 对于被确定为携带者的婴儿,实施了接触隔离预防措施.
- 脉冲场凝电泳 (PFGE) 用于对VRE分离物的克隆分析.
主要成果:
- 在地震后转移到新生儿重症监护室的婴儿中检测到抗万科米辛的Enterococcus (VRE) 菌株.
- 查和隔离措施的实施似乎抑制了潜在的传播.
- PFGE分析提供了有关VRE菌株遗传相关性的见解.
结论:
- 在灾难发生后转移的婴儿可能会充当抗万科胺素耐药性肠球菌 (VRE) 的储存库.
- 积极的查和隔离对于预防NICU中VRE爆发至关重要.
- 强大的感染控制策略对于减轻在灾难场景中与患者转移相关的风险至关重要.
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