title: Investigation and control of an outbreak of Enterobacter aerogenes bloodstream infection in a neonatal intensive care unit in Fiji.
abstract: Ten neonates developed blood stream infection with extended-spectrum beta-lactamase-producing Enterobacter aerogenes in a neonatal intensive care unit in Fiji. The source of the outbreak was traced to a bag of contaminated normal saline in the ward, which was used for multiple patients. All isolates recovered from patients were indistinguishable from the bacteria recovered from the normal saline by pulsed-field gel electrophoresis. The outbreak was controlled using simple infection control practices such as reinforcement of strict hand hygiene policy, provision of single use vials of normal saline, and strict aseptic technique for injections.
authors: Colonial War Memorial Hospital, Suva, Fiji. swastika_narayan@yahoo.com.au
authors: Swastika A
authors: SA
authors: Narayan
authors: Jacob L
authors: JL
authors: Kool
authors: Miriama
authors: M
authors: Vakololoma
authors: Andrew C
authors: AC
authors: Steer
authors: Amelita
authors: A
authors: Mejia
authors: Anne
authors: A
authors: Drake
authors: Adam
authors: A
authors: Jenney
authors: Jane F
authors: JF
authors: Turton
authors: Joseph
authors: J
authors: Kado
authors: Lisi
authors: L
authors: Tikoduadua
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D004340:Drug Contamination; D021902:Enterobacter aerogenes / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D004866:Equipment Contamination; D005260:Female; D005367:Fiji / Q000453:epidemiology; D006235:Hand Disinfection; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017053:Infection Control; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D008297:Male; D015532:Rehydration Solutions / Q000627:therapeutic use; D012307:Risk Factors; D018805:Sepsis / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D015532:Rehydration Solutions