We've seen these in the past year from Mongolia, Egypt, Mexico, and now Brazil.
And this article from Brazil admits several similar outbreaks in the past. Also, note that Klebsiella is one of the culprits yet again.
http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1050,81287
Hospital Infection NEONATAL: BRAZIL (Moji das Cruzes, SP) ************************************* ************************** A message / Una mensaje / of ProMED-mail <http://www.promedmail.org> ProMED-mail and a program of / es un programa de la International Society for Infectious Diseases <http://www.isid.org> Date: Wednesday / Miercoles, 10 February / Febrero 2010 From: ProMED-PORT <Promed-Port @ promedmail.org> Source: The Diary [09/02/2010] http://odiariodemogi.inf.br/cidades/noticia_view.asp?mat=21882&edit=6 Nursery already accounts for 11 deaths Three more babies born in the Santa Casa de Misericordia Mogi das Cruzes died between Friday and Sunday with a condition of generalized infection. Thus, increased to 11 the number of infants who died in the unit, who last Friday had the Nursery banned again, exactly 15 days after have been released to receive patients at low risk or urgent cases awaiting transfer. Além dos óbitos, há suspeitas de que outro bebê que continua internado no setor - ontem, às 18 horas, tinham três aguardando transferência - também apresente a bactéria Enterobacter Cloacae, típica de infecção hospitalar e mais resistente do que a Klebsiella, responsável pelo surto ocorrido em 2002, quando 15 recém-nascidos faleceram na Santa Casa, e por três dos oito óbitos ocorridos entre outubro e novembro do ano passado e que culminaram com a primeira interdição do Berçário. O bebê que faleceu na última sexta-feira à noite nasceu na Santa Casa no dia 23 de janeiro e os exames constataram que ele apresentava um quadro de meningite bacteriana. Besides the deaths, it is suspected that another baby in hospital in the industry - yesterday at 18 hours, three were awaiting transfer - also provide the bacterium Enterobacter cloacae, typical of hospital infections and more resistant Klebsiella that is responsible for the outbreak in 2002, when 15 infants died in the Holy House, and three of the eight deaths that occurred between October and November last year and culminated with the first prohibition of the nursery. The baby who died last Friday evening was the Santa House on January 23 and the tests found that it presented a case of bacterial meningitis. Ele faleceu logo depois da vistoria realizada pela Vigilância Sanitária Estadual, quando os técnicos foram informados dos resultados positivos para a presença de bactérias no Berçário. A suspeita de contaminação, somada à constatação de falta de limpeza e de higiene no setor (leia detalhes nesta página), levaram à interdição imediata do Berçário, com a recomendação expressa para transferência de todos os pacientes que ainda estavam no setor. Anteontem, porém, outro bebê que nasceu na Santa Casa no dia 17 de janeiro, quando o Berçário ainda estava fechado, mas o hospital continuava a atender alguns casos, faleceu com quadro de septecemia. He died shortly after survey conducted by the State Sanitary Surveillance, when coaches were informed of positive results for presence of bacteria in the nursery. The suspicion of contamination, coupled with the finding of a lack of cleanliness and hygiene in the sector (see details on this page ), led to the immediate ban of the Nursery, with the express recommendation to transfer all patients who were still in the industry. The day before yesterday, but another baby was born in Santa House on January 17 when the Nursery was still closed, but the hospital continued to serve some cases, died with acute septecemia. Os exames confirmaram que a criança trazia consigo a bactéria Enterobacter Cloacae. The tests confirmed that the child was carrying the bacterium Enterobacter cloacae. No domingo mesmo, no Hospital Central de Itapecerica da Serra, outro bebê morreu em decorrência de choque séptico, sepse e prematuridade. In the same Sunday, the Central Hospital da Serra, another infant died of septic shock, sepsis and prematurity. Ele nasceu na Santa Casa no dia 1o de fevereiro e havia sido transferido para o hospital da Grande São Paulo na última quarta-feira, sendo que já teria dado entrada nesta unidade de saúde com quadro de infecção hospitalar. A confirmação deste 11o óbito agrava ainda mais a situação do Berçário da Santa Casa de Mogi das Cruzes, que agora só poderá retomar o atendimento às gestantes quando concluir totalmente a reforma no setor, fazer a desinfecção completa e atender todas as exigências da Vigilância Sanitária para afastar risco de novas infecções. He was born in Santa House on February 1 and had been transferred to the hospital in Greater Sao Paulo on Wednesday, and had already been entered in the clinic with acute hospital infection. Confirmation of the 11th death exacerbates the situation Nursery, Santa Casa de Mogi das Cruzes, which now can only resume for pregnant women when fully complete the reform in the sector, making the complete disinfection and meet all requirements of the Health Surveillance to eliminate the risk of new infections. A exceção é apenas para os casos em que a mulher der entrada no hospital em estado expulsivo. The only exception is for cases where the woman has arrived in the hospital in labor. Ainda assim, o atendimento estará restrito ao Pronto-Socorro e, logo após o parto, mãe e filho precisarão ser imediatamente transferidos. Still, the service will be restricted to the emergency room, and soon after birth, mother and child need to be immediately transferred. Ontem, inclusive, o prefeito Marco Aurélio Bertaiolli (DEM) informou que já foram tomadas as providências para que uma ambulância, do tipo UTI, fique à disposição da Santa Casa. A Secretaria de Estado da Saúde informou, no início da noite de ontem, que a interdição da Maternidade e do Berçário ocorreram porque a Santa Casa não fez as adequações solicitadas nos setores dentro dos prazos estipulados (sistema de ar-condicionado, número adequado de profissionais, elevador, funcionamento da Maternidade num único andar e melhoria no fluxo de materiais dos recém-nascidos) e por conta da suspeita de novas contaminações por infecção hospitalar, as quais estão em investigação. ------------------------------------------------- ProMED-Port [Visite nosso site, com versao em portugues e mecanismo de busca, tambem em portugues: http://www.promedmail.org [clique na bandeira portuguesa] - ljs] ...................................................................ljs *########################################################### ProMED-mail faz o maior esforco possivel para que os relatorios colocados em nossos envios sejam verificados, mas nao podemos garantir a veracidade nem comprovar quao completa e' a informacao ou qualquer declaracao ou opiniao baseada na mesma. Yesterday, even the mayor of Marcus Aurelius Bertaiolli (DEM) has reported that arrangements have been made for an ambulance, ICU type, be available to the Santa Casa. The State Department of Health announced in early last night, the ban Maternity and Nursery occurred because the Santa Casa has not made the required adjustments in the sectors within the prescribed period (air-conditioning, adequate number of professionals, lift, run from a single maternity floor and improved flow of materials newborn) and because of the suspicion of further contamination by hospital infections, which are under investigation. --------------------------- ProMED-Port ---------------------- [Visit our website, with version in Portuguese and search engine, also in Portuguese: http://www.promedmail . org [click on the flag Portuguese] - ljs] ....................................... ............................ ljs *#################### ####################################### ProMED-mail makes the greatest effort possible to ensure that reports placed on our items are checked, but we can not guarantee the accuracy or demonstrate how thorough and 'information to any statements or opinions based thereon. O leitor assume todos os riscos ao usar a informacao presentada ou arquivada por ProMED-mail. A Sociedade Internacional de Doencas Infecciosas (Inter- national Society of Infectious Diseases - ISID) e seus proveedores de servico associados nao podem ser considerados responsaveis por erros ou omissoes, nem estar sujeitos a qualquer acao legal por danos ocorridos a consequencia do uso ou da confianca que se tenha tido em algum material apresentado ou arquivado por ProMED-mail. ************************************************************* ProMED-mail hace el maximo esfuerzo posible para verificar los informes que son colocados en nuestros envios, sin embargo, no podemos garantizar la veracidad ni comprobar que tan completa es la informacion o cualquier declaracion u opinion basada en la misma. The reader assumes all risks in using information posted or archived by ProMED-mail. The International Society for Infectious Diseases (Inter-national Society of Infectious Diseases - ISID) and its associated service providers to not be held liable for any errors or omissions or be subject to any legal action for damages sustained in consequence of the use or trust that has been presented in any material or archived by ProMED-mail. ***************** ******************************************** ProMED-mail hare el maximo esfuerzo posible to see los informes que son en nuestros placed items, sin embargo, no podemos garantizar la ni veracidad comprobar que tan completa es la informacion or anything u declaracion opinion basada en la misma. El lector asume todos los riesgos al usar la informacion presentada o archivada por ProMED-mail. El lector Assume todos los riesgos al use la informacion presentada archive by ProMED-mail. La Sociedad Internacional de Enfermedades Infecciosas (International Society of Infectious Diseases ISID) y sus proveedores de servicio asociados no pueden ser considerados responsables por errores u omisiones, ni sujetos a cualquier accion legal por danos incurridos a consecuencia del uso o de la confianza que se haya tenido en algun material presentado o archivado por ProMED-mail. ************************************************************* Mensajes para ProMED-PORT enviar a promed-port@promedmail.org Informaciones administrativas solicitar a majordomo@promedmail.org . International Society for Infectious Diseases (International Society of Infectious Diseases ISID) y sus asociados proveedores de servicio no pueden be considered by responsables errores u omisión, ni cualquier accion sujetos a legal damages incurr the consecuencia del uso o de la confianza that haya tenido en algun material presentado archive by ProMED-mail. ************************************** *********************** Mensajes ProMED-PORT to send promed-port@promedmail.org Administrative Information request majordomo@promedmail.org. Asistencia humana enviar mensaje a owner-promed-port@promedmail.org ............................................................. Mensagens para ProMED-mail em portugues deverao ser enviadas enviadas para: promed-port@promedmail.org . Asistencia human send a message owner-promed-port@promedmail.org .................................... ......................... Messages to ProMED-mail in Portuguese should be sent sent to: promed-port@promedmail.org. Solicitacoes de carater administrativo deverao ser enviadas para: majordomo@promedmail.org . Requests for administrative character should be sent to: majordomo@promedmail.org. Necessitando de auxilio, mande mensagem para: owner-majordomo@promedmail.org ############################################################# ############################################################# In need of assistance, send message to owner-majordomo@promedmail.org ################################### ########################## ######################## #####################################
And this article from Brazil admits several similar outbreaks in the past. Also, note that Klebsiella is one of the culprits yet again.
http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1050,81287
Hospital Infection NEONATAL: BRAZIL (Moji das Cruzes, SP) ************************************* ************************** A message / Una mensaje / of ProMED-mail <http://www.promedmail.org> ProMED-mail and a program of / es un programa de la International Society for Infectious Diseases <http://www.isid.org> Date: Wednesday / Miercoles, 10 February / Febrero 2010 From: ProMED-PORT <Promed-Port @ promedmail.org> Source: The Diary [09/02/2010] http://odiariodemogi.inf.br/cidades/noticia_view.asp?mat=21882&edit=6 Nursery already accounts for 11 deaths Three more babies born in the Santa Casa de Misericordia Mogi das Cruzes died between Friday and Sunday with a condition of generalized infection. Thus, increased to 11 the number of infants who died in the unit, who last Friday had the Nursery banned again, exactly 15 days after have been released to receive patients at low risk or urgent cases awaiting transfer. Além dos óbitos, há suspeitas de que outro bebê que continua internado no setor - ontem, às 18 horas, tinham três aguardando transferência - também apresente a bactéria Enterobacter Cloacae, típica de infecção hospitalar e mais resistente do que a Klebsiella, responsável pelo surto ocorrido em 2002, quando 15 recém-nascidos faleceram na Santa Casa, e por três dos oito óbitos ocorridos entre outubro e novembro do ano passado e que culminaram com a primeira interdição do Berçário. O bebê que faleceu na última sexta-feira à noite nasceu na Santa Casa no dia 23 de janeiro e os exames constataram que ele apresentava um quadro de meningite bacteriana. Besides the deaths, it is suspected that another baby in hospital in the industry - yesterday at 18 hours, three were awaiting transfer - also provide the bacterium Enterobacter cloacae, typical of hospital infections and more resistant Klebsiella that is responsible for the outbreak in 2002, when 15 infants died in the Holy House, and three of the eight deaths that occurred between October and November last year and culminated with the first prohibition of the nursery. The baby who died last Friday evening was the Santa House on January 23 and the tests found that it presented a case of bacterial meningitis. Ele faleceu logo depois da vistoria realizada pela Vigilância Sanitária Estadual, quando os técnicos foram informados dos resultados positivos para a presença de bactérias no Berçário. A suspeita de contaminação, somada à constatação de falta de limpeza e de higiene no setor (leia detalhes nesta página), levaram à interdição imediata do Berçário, com a recomendação expressa para transferência de todos os pacientes que ainda estavam no setor. Anteontem, porém, outro bebê que nasceu na Santa Casa no dia 17 de janeiro, quando o Berçário ainda estava fechado, mas o hospital continuava a atender alguns casos, faleceu com quadro de septecemia. He died shortly after survey conducted by the State Sanitary Surveillance, when coaches were informed of positive results for presence of bacteria in the nursery. The suspicion of contamination, coupled with the finding of a lack of cleanliness and hygiene in the sector (see details on this page ), led to the immediate ban of the Nursery, with the express recommendation to transfer all patients who were still in the industry. The day before yesterday, but another baby was born in Santa House on January 17 when the Nursery was still closed, but the hospital continued to serve some cases, died with acute septecemia. Os exames confirmaram que a criança trazia consigo a bactéria Enterobacter Cloacae. The tests confirmed that the child was carrying the bacterium Enterobacter cloacae. No domingo mesmo, no Hospital Central de Itapecerica da Serra, outro bebê morreu em decorrência de choque séptico, sepse e prematuridade. In the same Sunday, the Central Hospital da Serra, another infant died of septic shock, sepsis and prematurity. Ele nasceu na Santa Casa no dia 1o de fevereiro e havia sido transferido para o hospital da Grande São Paulo na última quarta-feira, sendo que já teria dado entrada nesta unidade de saúde com quadro de infecção hospitalar. A confirmação deste 11o óbito agrava ainda mais a situação do Berçário da Santa Casa de Mogi das Cruzes, que agora só poderá retomar o atendimento às gestantes quando concluir totalmente a reforma no setor, fazer a desinfecção completa e atender todas as exigências da Vigilância Sanitária para afastar risco de novas infecções. He was born in Santa House on February 1 and had been transferred to the hospital in Greater Sao Paulo on Wednesday, and had already been entered in the clinic with acute hospital infection. Confirmation of the 11th death exacerbates the situation Nursery, Santa Casa de Mogi das Cruzes, which now can only resume for pregnant women when fully complete the reform in the sector, making the complete disinfection and meet all requirements of the Health Surveillance to eliminate the risk of new infections. A exceção é apenas para os casos em que a mulher der entrada no hospital em estado expulsivo. The only exception is for cases where the woman has arrived in the hospital in labor. Ainda assim, o atendimento estará restrito ao Pronto-Socorro e, logo após o parto, mãe e filho precisarão ser imediatamente transferidos. Still, the service will be restricted to the emergency room, and soon after birth, mother and child need to be immediately transferred. Ontem, inclusive, o prefeito Marco Aurélio Bertaiolli (DEM) informou que já foram tomadas as providências para que uma ambulância, do tipo UTI, fique à disposição da Santa Casa. A Secretaria de Estado da Saúde informou, no início da noite de ontem, que a interdição da Maternidade e do Berçário ocorreram porque a Santa Casa não fez as adequações solicitadas nos setores dentro dos prazos estipulados (sistema de ar-condicionado, número adequado de profissionais, elevador, funcionamento da Maternidade num único andar e melhoria no fluxo de materiais dos recém-nascidos) e por conta da suspeita de novas contaminações por infecção hospitalar, as quais estão em investigação. ------------------------------------------------- ProMED-Port [Visite nosso site, com versao em portugues e mecanismo de busca, tambem em portugues: http://www.promedmail.org [clique na bandeira portuguesa] - ljs] ...................................................................ljs *########################################################### ProMED-mail faz o maior esforco possivel para que os relatorios colocados em nossos envios sejam verificados, mas nao podemos garantir a veracidade nem comprovar quao completa e' a informacao ou qualquer declaracao ou opiniao baseada na mesma. Yesterday, even the mayor of Marcus Aurelius Bertaiolli (DEM) has reported that arrangements have been made for an ambulance, ICU type, be available to the Santa Casa. The State Department of Health announced in early last night, the ban Maternity and Nursery occurred because the Santa Casa has not made the required adjustments in the sectors within the prescribed period (air-conditioning, adequate number of professionals, lift, run from a single maternity floor and improved flow of materials newborn) and because of the suspicion of further contamination by hospital infections, which are under investigation. --------------------------- ProMED-Port ---------------------- [Visit our website, with version in Portuguese and search engine, also in Portuguese: http://www.promedmail . org [click on the flag Portuguese] - ljs] ....................................... ............................ ljs *#################### ####################################### ProMED-mail makes the greatest effort possible to ensure that reports placed on our items are checked, but we can not guarantee the accuracy or demonstrate how thorough and 'information to any statements or opinions based thereon. O leitor assume todos os riscos ao usar a informacao presentada ou arquivada por ProMED-mail. A Sociedade Internacional de Doencas Infecciosas (Inter- national Society of Infectious Diseases - ISID) e seus proveedores de servico associados nao podem ser considerados responsaveis por erros ou omissoes, nem estar sujeitos a qualquer acao legal por danos ocorridos a consequencia do uso ou da confianca que se tenha tido em algum material apresentado ou arquivado por ProMED-mail. ************************************************************* ProMED-mail hace el maximo esfuerzo posible para verificar los informes que son colocados en nuestros envios, sin embargo, no podemos garantizar la veracidad ni comprobar que tan completa es la informacion o cualquier declaracion u opinion basada en la misma. The reader assumes all risks in using information posted or archived by ProMED-mail. The International Society for Infectious Diseases (Inter-national Society of Infectious Diseases - ISID) and its associated service providers to not be held liable for any errors or omissions or be subject to any legal action for damages sustained in consequence of the use or trust that has been presented in any material or archived by ProMED-mail. ***************** ******************************************** ProMED-mail hare el maximo esfuerzo posible to see los informes que son en nuestros placed items, sin embargo, no podemos garantizar la ni veracidad comprobar que tan completa es la informacion or anything u declaracion opinion basada en la misma. El lector asume todos los riesgos al usar la informacion presentada o archivada por ProMED-mail. El lector Assume todos los riesgos al use la informacion presentada archive by ProMED-mail. La Sociedad Internacional de Enfermedades Infecciosas (International Society of Infectious Diseases ISID) y sus proveedores de servicio asociados no pueden ser considerados responsables por errores u omisiones, ni sujetos a cualquier accion legal por danos incurridos a consecuencia del uso o de la confianza que se haya tenido en algun material presentado o archivado por ProMED-mail. ************************************************************* Mensajes para ProMED-PORT enviar a promed-port@promedmail.org Informaciones administrativas solicitar a majordomo@promedmail.org . International Society for Infectious Diseases (International Society of Infectious Diseases ISID) y sus asociados proveedores de servicio no pueden be considered by responsables errores u omisión, ni cualquier accion sujetos a legal damages incurr the consecuencia del uso o de la confianza that haya tenido en algun material presentado archive by ProMED-mail. ************************************** *********************** Mensajes ProMED-PORT to send promed-port@promedmail.org Administrative Information request majordomo@promedmail.org. Asistencia humana enviar mensaje a owner-promed-port@promedmail.org ............................................................. Mensagens para ProMED-mail em portugues deverao ser enviadas enviadas para: promed-port@promedmail.org . Asistencia human send a message owner-promed-port@promedmail.org .................................... ......................... Messages to ProMED-mail in Portuguese should be sent sent to: promed-port@promedmail.org. Solicitacoes de carater administrativo deverao ser enviadas para: majordomo@promedmail.org . Requests for administrative character should be sent to: majordomo@promedmail.org. Necessitando de auxilio, mande mensagem para: owner-majordomo@promedmail.org ############################################################# ############################################################# In need of assistance, send message to owner-majordomo@promedmail.org ################################### ########################## ######################## #####################################