ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Serratia Marcescens:a Serious Death Causing Agent For Neonates
Ülkü TIRAŞ*, Ömer ERDEVE*, Orhun ÇAMURDAN*, Yıldız DALLAR*
* Ankara Education and Research Hospital, Clinics of Pediatrics, Ankara, TURKEY
Serratia marcescens is a serious death causing agent especially for prematures and low birth weighted neonates, and has become an important cause of nosocomial infection over the last 30 years. In this report, we describe the course of the outbreak we had experienced and the measures taken to control it.Serratia marcescens was isolated from ten patients (eight from NICU and two from nursery). All isolates were from blood and were sensitive to imipenem, meropenem, amikacin and ciprofloxacine. Except one case again all were sensitive to cephaperasone. Fifty percent (4/8) of newborns were lost. Six of eight neonates were prematures, and three deaths occured were from these six prematures. Except two neonates, birth weight of all neonates were below 2500 grams. Cultures taken to find out the source of outbreak did not result as a certain one, but positive culture obtained from an aspirator was blamed for the rapid spread of the bacteria.Serratia marcescens is a serious death causing agent especially for prematures and low birthweighted neonates. Respiratory, gastrointestinal and cardiovascular systems are mostly affected and serious measures including the temporarily closure of units to new admissions should be taken to control the spread.Keywords: Intensive Care Units, Neonatal, Sepsis, Cross Infection, Serratia marcescensTurkiye Klinikleri J Med Sci 2002, 22:571-573
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