title: [Examination of maternal extended spectrum beta-lactamase bacterial colonization and follow-up of newborns requiring Neonatal Intensive Care Unit admission].
abstract: BACKGROUND
  The extended beta-lactamase producing Enterobacteriaceae may cause asymptomatic carriage if present in the colon of premature infants or pregnant women.
  
  
  OBJECTIVE
  To assess the incidence of colonization among mothers whose infants were admitted to Neonatal Intensive Center on the day of their delivery for this pathogen.
  
  
  METHODS
  From October 1, 2013 until October 31, 2015 the authors screened mothers on the day of their delivery for this pathogen. Nineteen of the 751 anorectal swabs or stool samples were found to be positive. Mothers having positive samples were given personal education for hand hygiene, then they actively participated in the care of their babies. From some premature infants ear swab and stomach washing were taken and sent for culture on the day of their admission. In the course of their hospital stay, anorectal swabs were taken and screened for this bacteria colonization at least once.
  
  
  RESULTS
  None of the premature infants of the 19 extended beta-lactamase producing Enterobacteriaceae-positive mothers became positive in the studied period.
  
  
  CONCLUSIONS
  If the mother is colonized, the spreading of pathogen to newborns can be prevented by observing the hygienic rules. Orv. Hetil., 2016. 157(34), 1353-1356.
authors.affiliation: Kórházhigiénés Osztály, Bács-Kiskun Megyei Kórház Kecskemét, Nyíri út 38., 6000.
authors.forename: Márta
authors.initials: M
authors.lastname: Patyi
authors.affiliation: Kórházhigiénés Osztály, Bács-Kiskun Megyei Kórház Kecskemét, Nyíri út 38., 6000.
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Tóth
authors.affiliation: Gyermekosztály, Bács-Kiskun Megyei Kórház Kecskemét.
authors.forename: Edit
authors.initials: E
authors.lastname: Kelemen
authors.affiliation: Gyermekosztály, Bács-Kiskun Megyei Kórház Kecskemét.
authors.forename: Gyula
authors.initials: G
authors.lastname: Tálosi
mesh_terms: D000328:Adult; D002353:Carrier State / Q000382:microbiology*; D003428:Cross Infection / Q000382:microbiology; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000382:microbiology* / Q000635:transmission; D005243:Feces / Q000382:microbiology*; D005260:Female; D006801:Humans; D006814:Hungary; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D008297:Male; D055815:Young Adult; D001618:beta-Lactamases / Q000096:biosynthesis*
chemical_list: D001618:beta-Lactamases
keywords: colonization; extended spectrum beta-lactamase producing Enterobacteriaceae; kolonizáció; koraszülött; premature infant; széles spektrumú béta-laktamáz-termelő bélbaktérium