title: Multiresistant extended-spectrum beta-lactamase-producing Klebsiella pneumoniae causing an outbreak of nosocomial bloodstream infection.
abstract: This article describes an outbreak of bloodstream infection due to clonal dissemination of multiresistant Klebsiella pneumoniae in a neonatal area, during August 1999, in Mexico City General Hospital. The intestinal tract was the likely reservoir, and intensification of Contact Precaution measures contained the outbreak.
authors.affiliation: Epidemiology Surveillance Department, School of Medicine, UNAM, México City, México.
authors.forename: A
authors.initials: A
authors.lastname: Gonzalez-Vertiz
authors.forename: D
authors.initials: D
authors.lastname: Alcantar-Curiel
authors.forename: M
authors.initials: M
authors.lastname: Cuauhtli
authors.forename: C
authors.initials: C
authors.lastname: Daza
authors.forename: C
authors.initials: C
authors.lastname: Gayosso
authors.forename: G
authors.initials: G
authors.lastname: Solache
authors.forename: C
authors.initials: C
authors.lastname: Horta
authors.forename: F
authors.initials: F
authors.lastname: Mejia
authors.forename: J I
authors.initials: JI
authors.lastname: Santos
authors.forename: C
authors.initials: C
authors.lastname: Alpuche-Aranda
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000453:epidemiology* / Q000382:microbiology*; D015373:Bacterial Typing Techniques; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology*; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D007710:Klebsiella Infections / Q000453:epidemiology* / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000201:enzymology / Q000302:isolation & purification*; D008800:Mexico / Q000453:epidemiology; D001618:beta-Lactamases / Q000096:biosynthesis*
chemical_list: D000900:Anti-Bacterial Agents; D001618:beta-Lactamases