About: Overcrowding in a neonatal intermediate care unit: impact on the incidence of multidrug-resistant gram-negative organisms

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About: Overcrowding in a neonatal intermediate care unit: impact on the incidence of multidrug-resistant gram-negative organisms Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Overcrowding in a neonatal intermediate care unit: impact on the incidence of multidrug-resistant gram-negative organisms
Creator	Brandt, Christian Dahl, Udo Falgenhauer, Linda Fischer, Doris Klingebiel, Thomas Philippi, Sabine Reinheimer, Claudia Kempf, Volkhard Schlößer, Rolf Wichelhaus, Thomas
source	Medline; PMC
abstract	BACKGROUND: Overcrowding, reduced nurse to patient ratio, limited distance between incubators and absence of microbiological surveillance have been shown to promote spread of multidrug-resistant gram-negative organisms (MDRGN) in patients with birthweight < 1500 g. Patients > 1500 g treated on an intermediate care unit are unrepresented in recent literature. We therefore intended to present data obtained from a short-term overcrowded neonatal intermediate care unit (NIMCU) at a level III (international categorization) perinatal center at University Hospital Frankfurt, Germany. METHODS: During a 25 day overcrowding (OV) and 28 day post-overcrowding period (POST-OV) on NIMCU, epidemiological data obtained from continuously hold microbiological surveillance were investigated and compared to the last 12 months of ward-regular bed occupancy preceding OV (PRAE-OV). RESULTS: During OV, the number of patients simultaneously treated at the NIMCU increased from 18 to 22, resulting in a reduced bed-to-bed space. Nurse: patient ratio was 4:22 during OV compared to 3:18 during PRAE-OV. Cumulative incidence of MDRGN was 4.7% in OV and 2.4% POST-OV compared to 4.8% to PRAE-OV, respectively, without any significant variations. During OV and POST-OV, septic episodes due to MDRGN were not observed. In one case, potential nosocomial transmission of Enterobacter cloacae resistant to Piperacillin and 3rd/4th generation cephalosporins was observed. CONCLUSIONS: Prevention of nosocomial spread of MDRGN in an overcrowded NIMCU is based on staff’s diligent training and adequate staffing. Concise microbiological surveillance should be guaranteed to escort through overcrowding periods. In our setting, impact of bed-to-bed distance on MDRGN transmission seemed to be less strong.
has issue date	2019-04-29(xsd:dateTime)
bibo:doi	10.1186/s12879-019-3981-8
bibo:pmid	31035966
has license	cc-by
sha1sum (hex)	11ae714b01d105e39919f2a6d9b2471153963d25
schema:url	https://doi.org/10.1186/s12879-019-3981-8
resource representing a document's title	Overcrowding in a neonatal intermediate care unit: impact on the incidence of multidrug-resistant gram-negative organisms
has PubMed Central identifier	PMC6489334
has PubMed identifier	31035966
schema:publication	BMC Infect Dis
resource representing a document's body	covid:11ae714b01d105e39919f2a6d9b2471153963d25#body_text
is schema:about of	named entity 'IMPACT' named entity 'intermediate' named entity 'treated' named entity 'INTERMEDIATE CARE UNIT' named entity 'UNIVERSITY HOSPITAL' named entity 'PATIENTS' named entity 'NEONATAL' named entity 'INCIDENCE' named entity 'FRANKFURT' named entity '1500' named entity 'DISTANCE' named entity 'CATEGORIZATION' named entity 'NEONATAL' named entity 'ORGANISMS' named entity 'BIRTHWEIGHT' named entity 'PRESENT' named entity 'RECENT' named entity 'GRAM-' named entity 'ORGANISMS' named entity 'OVERCROWDING' named entity 'RATIO' named entity 'SHORT-TERM' named entity 'INCUBATORS' named entity 'TREATED' named entity 'ABSENCE OF' named entity 'LITERATURE' named entity 'BACKGROUND' named entity 'NURSE' named entity 'PERINATAL' named entity 'DATA' named entity 'NEGATIVE' named entity 'RESISTANT' named entity 'NEGATIVE' named entity 'REDUCED' named entity 'CENTER' named entity 'LEVEL III' named entity 'OBTAINED' named entity 'PROMOTE' named entity 'LIMITED' named entity 'HAVE' named entity 'OVERCROWDING' named entity 'MICROBIOLOGICAL SURVEILLANCE' named entity 'GRAM-' named entity 'SPREAD' named entity 'RESISTANT' named entity 'GERMANY' named entity 'INTENDED' named entity 'PATIENT' covid:arg/11ae714b01d105e39919f2a6d9b2471153963d25 named entity 'unit' named entity 'ratio' named entity 'Frankfurt' named entity 'III' named entity 'patients' named entity 'promote' named entity 'University Hospital' named entity 'level III' named entity 'Germany' named entity 'intermediate care' named entity 'gram-negative' named entity 'disinfection' named entity 'Robert Koch Institute' named entity 'HPC' named entity 'neonatal units' named entity 'MRE' named entity 'ISO 15189' named entity 'milk' named entity 'nutrition' named entity 'baby bottle' named entity 'nosocomial infections' named entity 'vertically transmitted' named entity 'catheters'

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