The objective of this study is to describe and investigate the circumstances of an epidemic infections outbreak of multidrug-resistant Acinetobacter baumannii in pediatric intensive care unit. Between August and October 2012, where ten strains of Acinetobacter baumannii have been isolated. Blood cultures and protected distal bronchial samples were the main sites of isolation. The study of antibiotic resistance helps to identify two phenotypical clones confirmed by the genotypic study using the pulsed field gel electrophoresis. The audit on respect of the hygiene precautions by healthcare workers revealed a large lack. The line adopted following this event was the establishment of corrective measures in order to stop this epidemic. Reinforcing the hygiene measures and staff training were successful in ending the outbreak without having to close the unit.
The emergence of strains of multidrug-resistant Acinetobacter baumannii infections outbreak in the intensive care units seems very alarming and requires the development of an effective and permanent strategy against healthcare associated infections.
Streptococcus agalactiae or group B streptococcus (GBS) is a common agent of maternal and neonatal infections. Invasives diseases due to GBS are increasing in non-pregnant adults, mainly for immunodepressed adults with a mortality rate ranging from 20% to 50%.Among these infections, meningitis streptococcus agalactiae are exceptional. This observation reports the case of meningitis Streptococcus agalactiae in a diabetic patient. The urinary tract was the starting point of the invasive infection due to GBS.
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