Outbreaks of extended spectrum beta-lactamase-producing Enterobacteriaceae in neonatal intensive care units: a systematic review.

Patrick J M StapletonMadeleine MurphyNaomi McCallionMarion BrennanRobert CunneyRichard J Drew

Published in: Archives of disease in childhood. Fetal and neonatal edition (2015)

ESBL outbreaks in NICUs are associated with significant mortality and prolonged disruption. Understaffing is a major risk factor, but is infrequently addressed by interventions. Poor infection-control procedures are frequently implicated as contributing to ESBL spread. Better reporting of outbreaks may help clarify the role for routine ESBL screening in NICUs.

Keyphrases

klebsiella pneumoniae
escherichia coli
risk factors
intensive care unit
multidrug resistant
infectious diseases
physical activity
clinical practice
type diabetes
mechanical ventilation