Madhurendra S Rajput

Abstract

Introduction: Neonates are very susceptible to Pseudomonas aeruginosa. Single case of Pseudomonas aeruginosa in preterm neonates is a sign for immediate action. Aim: To describe control of an outbreak of Pseudomonas aeruginosa bloodstream infections (PA-BSI) by being vigilant and by immediate intervention, that occurred in the neonatal intensive care unit (NICU) of a teaching institution and hospital in Dewas, India. Materials and Methods: The outbreak investigations included hunt for additional cases, evaluation of patient’s records, environmental and health care worker screening, immediate reporting to authority, and detection of source by minimal available aid i.e. quantitative antibiogram. Results: Health care worker screening samples were negative on culture for Pseudomonas aeruginosa and an environmental source was detected to be a curtain near washroom. Conclusion: This study described control of an outbreak of PA-BSI occurring over a week among neonates which was controlled following vigorous infection control measures. Quantitative antibiogram data should be routinely used for typing purposes as an essential part of hospital associated infection control procedure in source limited settings. Keywords: Outbreak control, Pseudomonas aeruginosa, Curtain, Quantitative antibiogram.

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