Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António

Detalhes bibliográficos
Autor(a) principal: Aires, E.
Data de Publicação: 2010
Outros Autores: Fernandes, A., Vasconcelos, C.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.34632/cadernosdesaude.2010.3022
Texto Completo: https://doi.org/10.34632/cadernosdesaude.2010.3022
Resumo: Infections associated with health care represent a significant economic and social burden and it is imperative to remove the reservoir and sources, block the routes of transmission and protect susceptible hosts. Identify the source, monitor evolution and implement a cohort of patients and professionals that treat them is the most effective way to control an outbreak. It were identified 6 newborns infected by Pseudomonas aeruginosa, agent like the one identified in faucets of the Unit. Based on these results were implemented control measures in three areas: structure, process and results, after which there were no new cases reported. Since the first case to discharge of all involved went eleven weeks. However molecular analysis has revealed different genotypes, although with similarity over 95% in two pairs of microbial agents. The outbreak here documented translates the difficulties in this area because we can have an outbreak epidemiologically well-defined and phenotypically attributed to the same agent, but molecular analysis can show discrepancies between the isolated agents. The new methodologies are essential in analyzing outbreaks, having always presented that the epidemiologic definition will be determinant. The close collaboration with Infection Control Committee, department of Microbiology and Molecular Biology Unit is essential to identify cases in a timely manner and adequate clinical actuation.
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spelling Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo AntónioControlo de surto por pseudomonas aeruginosa num serviço de neonatologiaInfections associated with health care represent a significant economic and social burden and it is imperative to remove the reservoir and sources, block the routes of transmission and protect susceptible hosts. Identify the source, monitor evolution and implement a cohort of patients and professionals that treat them is the most effective way to control an outbreak. It were identified 6 newborns infected by Pseudomonas aeruginosa, agent like the one identified in faucets of the Unit. Based on these results were implemented control measures in three areas: structure, process and results, after which there were no new cases reported. Since the first case to discharge of all involved went eleven weeks. However molecular analysis has revealed different genotypes, although with similarity over 95% in two pairs of microbial agents. The outbreak here documented translates the difficulties in this area because we can have an outbreak epidemiologically well-defined and phenotypically attributed to the same agent, but molecular analysis can show discrepancies between the isolated agents. The new methodologies are essential in analyzing outbreaks, having always presented that the epidemiologic definition will be determinant. The close collaboration with Infection Control Committee, department of Microbiology and Molecular Biology Unit is essential to identify cases in a timely manner and adequate clinical actuation.As infecções associadas aos cuidados de saúde representam uma sobrecarga económica e social significativa pelo que é imperioso remover os reservatórios e fontes, bloquear as vias de transmissão e proteger o hospedeiro susceptível. Identificar a fonte, monitorizar a evolução e implementar coorte dos casos e dos profissionais que os tratam é o modo mais eficaz de controlar um surto. Identificaram-se 6 recém-nascidos infectados por Pseudomonas aeruginosa, agente idêntico ao isolado em torneiras da Unidade. Com base nestes resultados foram implementadas medidas de controlo em três áreas: estrutura, processo e resultados, após as quais não se registaram novos casos. Desde o 1.º caso até à alta de todos os envolvidos decorreram onze semanas. Entretanto a análise molecular revelou genótipos diferentes, embora com similaridade superior a 95 % em dois pares de agentes microbianos. O surto aqui documentado é exemplificativo das dificuldades nesta área pois podemos ter um surto epidemiologicamente bem definido, fenotipicamente atribuído ao mesmo agente, mas com a análise molecular a revelar discrepâncias. É necessária uma discussão entre a Comissão de Controlo de Infecção, o laboratório de Microbiologia e a Unidade de Biologia Molecular para uma correcta valorização das técnicas disponíveis e actuação clínica adequada.Universidade Católica Portuguesa2010-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34632/cadernosdesaude.2010.3022https://doi.org/10.34632/cadernosdesaude.2010.3022Cadernos de Saúde; Vol 3 No Especial (2010): Infecção associada à prática de cuidados de saúde; 109-111Cadernos de Saúde; v. 3 n. Especial (2010): Infecção associada à prática de cuidados de saúde; 109-1112795-43581647-055910.34632/cadernosdesaude.2010.3.Especialreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ucp.pt/index.php/cadernosdesaude/article/view/3022https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/3022/2921Direitos de Autor (c) 2010 E. Aires, A. Fernandes, C. Vasconceloshttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAires, E.Fernandes, A.Vasconcelos, C.2023-10-03T15:47:42Zoai:ojs.revistas.ucp.pt:article/3022Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:32:58.982474Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
Controlo de surto por pseudomonas aeruginosa num serviço de neonatologia
title Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
spellingShingle Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
Aires, E.
Aires, E.
title_short Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
title_full Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
title_fullStr Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
title_full_unstemmed Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
title_sort Outbreak of Pseudomonas aeruginosa in the intensive care neonatal and pediatric unit of Santo António
author Aires, E.
author_facet Aires, E.
Aires, E.
Fernandes, A.
Vasconcelos, C.
Fernandes, A.
Vasconcelos, C.
author_role author
author2 Fernandes, A.
Vasconcelos, C.
author2_role author
author
dc.contributor.author.fl_str_mv Aires, E.
Fernandes, A.
Vasconcelos, C.
description Infections associated with health care represent a significant economic and social burden and it is imperative to remove the reservoir and sources, block the routes of transmission and protect susceptible hosts. Identify the source, monitor evolution and implement a cohort of patients and professionals that treat them is the most effective way to control an outbreak. It were identified 6 newborns infected by Pseudomonas aeruginosa, agent like the one identified in faucets of the Unit. Based on these results were implemented control measures in three areas: structure, process and results, after which there were no new cases reported. Since the first case to discharge of all involved went eleven weeks. However molecular analysis has revealed different genotypes, although with similarity over 95% in two pairs of microbial agents. The outbreak here documented translates the difficulties in this area because we can have an outbreak epidemiologically well-defined and phenotypically attributed to the same agent, but molecular analysis can show discrepancies between the isolated agents. The new methodologies are essential in analyzing outbreaks, having always presented that the epidemiologic definition will be determinant. The close collaboration with Infection Control Committee, department of Microbiology and Molecular Biology Unit is essential to identify cases in a timely manner and adequate clinical actuation.
publishDate 2010
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dc.rights.driver.fl_str_mv Direitos de Autor (c) 2010 E. Aires, A. Fernandes, C. Vasconcelos
http://creativecommons.org/licenses/by/4.0
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rights_invalid_str_mv Direitos de Autor (c) 2010 E. Aires, A. Fernandes, C. Vasconcelos
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dc.publisher.none.fl_str_mv Universidade Católica Portuguesa
publisher.none.fl_str_mv Universidade Católica Portuguesa
dc.source.none.fl_str_mv Cadernos de Saúde; Vol 3 No Especial (2010): Infecção associada à prática de cuidados de saúde; 109-111
Cadernos de Saúde; v. 3 n. Especial (2010): Infecção associada à prática de cuidados de saúde; 109-111
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10.34632/cadernosdesaude.2010.3.Especial
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