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Harbouring group B streptococci in a neonatal intensive care unit led to an outbreak among preterm infants
Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
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2019 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, no 1, p. 58-61Article in journal (Refereed) Published
Abstract [en]

We report a nosocomial outbreak with group B streptococci (GBS) in a level two neonatal intensive care unit (NICU) at Sachs' Children and Youth Hospital, Stockholm, Sweden, in 2014. There were five very preterm infants with severe late-onset septicaemia, and 10 further infants were colonised. Pulsed-field gel electrophoresis and multilocus sequence typing genetic characterisation showed that one GBS strain was the cause: serotype Ia, sequence type 23, clonal complex 23. The NICU environment cultures revealed GBS reservoirs on surfaces near sick and colonised patients. We identified workflows and guidelines that could increase the risks of nosocomial infections. Conclusion: This nosocomial GBS outbreak among preterm infants demonstrates that GBS can be harboured in the NICU environment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. Vol. 108, no 1, p. 58-61
Keywords [en]
Group B streptococci, Neonatal intensive care unit, Nosocomial outbreak, Preterm infants, pticaemia
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:umu:diva-154804DOI: 10.1111/apa.14558ISI: 000452620600011PubMedID: 30152878Scopus ID: 2-s2.0-85053660677OAI: oai:DiVA.org:umu-154804DiVA, id: diva2:1292375
Available from: 2019-02-28 Created: 2019-02-28 Last updated: 2019-02-28Bibliographically approved

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Granlund, Margareta

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