ArticleInfection2016
Intensified colonisation screening according to the recommendations of the German Commission for Hospital Hygiene and Infectious Diseases Prevention (KRINKO): identification and containment of a Serratia marcescens outbreak in the neonatal intensive care unit, Jena, Germany, 2013-2014.
Article in Infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 31 citations in OpenAlex.
- Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026Review
- Application of Next-Generation Sequencing to Enterobacter Hormaechei Subspecies Analysis during a Neonatal Intensive Care Unit Outbreak.Children (Basel, Switzerland) · 2023Article
- Article
- Serratia marcescens Colonization in a Neonatal Intensive Care Unit Has Multiple Sources, with Sink Drains as a Major Reservoir.Applied and environmental microbiology · 2023Article
- Towards a Harmonized Terminology: A Glossary for Biocide Susceptibility Testing.Pathogens (Basel, Switzerland) · 2022Review
- The Value of Perinatal Factors, Blood Biomarkers and Microbiological Colonization Screening in Predicting Neonatal Sepsis.Journal of clinical medicine · 2022Article
- Evaluation of a Newly Developed Vacuum Dried Microtiter Plate for Rapid Biocide Susceptibility Testing of ClinicalMicroorganisms · 2020Article
- Colonization Screening Targeting Multidrug-Resistant Gram-Negative Pathogens Does Not Increase the Use of Carbapenems in Very Low Birth Weight Infants.Frontiers in pediatrics · 2020Article
- Genomics ofFrontiers in microbiology · 2020Article
- Characterization of KPC-ProducingFrontiers in microbiology · 2020Article
- Epidemiological Typing of Serratia marcescens Isolates by Whole-Genome Multilocus Sequence Typing.Journal of clinical microbiology · 2019Article
- Use of MALDI-TOF mass spectrometry to detect nosocomial outbreaks of Serratia marcescens and Citrobacter freundii.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019Article
- Review
- Serratia marcescens Outbreak in a Neonatal Intensive Care Unit: New Insights from Next-Generation Sequencing Applications.Journal of clinical microbiology · 2018Article
- The Genomic Basis of Intrinsic and Acquired Antibiotic Resistance in the GenusFrontiers in microbiology · 2018Article
- Outbreaks in the neonatal ICU: a review of the literature.Current opinion in infectious diseases · 2017Review
- Prevention and treatment of neonatal nosocomial infections.Maternal health, neonatology and perinatology · 2017Review
- A Quality Improvement Initiative to Control a Gram-negative Sepsis Outbreak in a Resource-limited Neonatal Intensive Care Unit Using Systems Engineering Initiative for Patient Safety and a Modified Donabedian Framework.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn 2013, the German Commission for Hospital Hygiene and Infectious Disease Prevention (KRINKO) stated that extending weekly colonisation screening from very low birth weight (VLBW) infants (<1500 g) to all patients in the Neonatal Intensive Care Unit (NICU) might be useful.
methodsAfter implementing this recommendation, we detected a previously unnoticed cluster of Serratia marcescens. Strains were typed by Pulsed Field Gel Electrophoresis (PFGE).
resultsOver 6 months, 19 out of 159 infants acquired S. marcescens. Twelve of the nineteen patients with S. marcescens were non-VLBW infants, and they were colonised significantly earlier than were VLBW infants (median 17 vs. 28 days; p < 0.01). Molecular typing revealed a polyclonal outbreak with multiple strain types leading to one or two transmissions each and a dominating outbreak strains being involved in an explosive outbreak involving eight neonates.
conclusionThe revised KRINKO recommendation may help identify unnoticed outbreaks. Colonised non-VLBW patients may be an underestimated source of S. marcescens.
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