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An Outbreak of Extended-Spectrum β-Lactamase–Producing Klebsiella pneumoniae in a Neonatal Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

Pranita D. Tamma*
Affiliation:
Johns Hopkins Medical Institutions, Division of Pediatric Infectious Diseases, Baltimore, Maryland
Patrice Savard
Affiliation:
Johns Hopkins Medical Institutions, Department of Hospital Epidemiology and Infection Control, Baltimore, Maryland
Tibor Pál
Affiliation:
United Arab Emirates University, Department of Microbiology and Immunology, Al Ain, United Arab Emirates
Ágnes Sonnevend
Affiliation:
United Arab Emirates University, Department of Microbiology and Immunology, Al Ain, United Arab Emirates
Trish M. Perl
Affiliation:
Johns Hopkins Medical Institutions, Departments of Medicine, Pathology, and Epidemiology, Baltimore, Maryland
Aaron M. Milstone
Affiliation:
Johns Hopkins Medical Institutions, Division of Pediatric Infectious Diseases, Baltimore, Maryland
*
Pranita D. Tamma, MD, Johns Hopkins Medical Institutions, Division of Pediatric Infectious Diseases, 200 North Wolfe Street, Suite 3155, Baltimore, MD 21287 (ptammal@jhmi.edu)

Abstract

We present a large outbreak of ESBL-producing Klebsiella pneumoniae in a neonatal intensive care unit that resulted in 31 colonized infants, 10 invasive infections, and 5 attributable deaths over a 5-month period. Although the source of infection was unknown, overcrowding and understaffing appeared to have been aggravating factors.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012 

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