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Egypt - Report details spread of resistant infections that killed 7-8 infants in Sahel hospital in August - Cairo governorate

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  • Egypt - Report details spread of resistant infections that killed 7-8 infants in Sahel hospital in August - Cairo governorate


    Al-Dustour obtained documents that reveal the full details of the spread of the Klebsila and Cedumons microbes in the nurseries of Al-Sahel Teaching Hospital of the Ministry of Health and Population in Cairo Governorate, which caused the death of between 7 and 8 children in August, Abdelfattah Hijazi, director of the hospital.
    The first documents are a report from the hospital's laboratory, which proves the spread of a microbe called scientifically called kelebsella multidra restita, in the corners of nurseries, the wheel of sterilization kits, the equipment for transporting children to nurseries, nursery number 2 and incubation number 12.
    A second document, a record of the meeting of the neonatal unit council at the hospital, was discussing the spread of infection in incubators, especially antibiotic-resistant species, that the Council of the Newborn Unit had agreed to completely clean the nurseries in two parts using "water and chlorine".
    The report added that the process of cleansing will take into account the preservation of conditions in the nursery, through the transfer of newborns to two rooms in exchange, taking into account that the two blocks to be transferred to children during the clearance, expand to only 8 cases.
    The report stressed the need to take into account the procedures to prevent the spread of infection, change routine antibiotics for two months, and to provide the needs of the unit of medical supplies, which leads to a lack of spread of infection, and coordination with the Department of Obstetrics and Gynecology, to try to disable the occurrence of cases requiring custody for 48 hours, It has to be cleared.
    A source at the hospital, that these actions were taken only after the mutation of the microbe, to become resistant to antibiotics.
    The source told «Constitution»: «Unit of newborns asked the hospital administration several times a month ago, sterilization incubators, especially that the microbe was then at the beginning, but the response was negative that the administration can not close nurseries, because of the lack of it, and because it needs To the decision of the Council of Ministers so as not to convert the subject to the Attorney General ».
    He added that the microbe became resistant to antibiotics, meaning that if the injury is the child dies as a result of infection, and the lack of response to any antibiotic.
    The director of the hospital, Dr. Abdel Fattah Hegazy, commented on the documents we obtained: "There is already an antibiotic-resistant microbial, which causes an infection transmission inside the incubators. .
    He added: «This microbe came through the children coming from abroad on the nursery, and there are some children came and their condition is critical, which was the cause of their deaths», pointing out that «the mortality rate in the nursery rose over the past month to reach more than 30%».
    Hejazi stressed that the hospital can not close the incubators completely, but has been closed part of it to sterilize, and transfer the rest of the children to him, to be sterilized continuously until the completion of the complete cleansing.
    He pointed out that the hospital management takes precautions. The cleansing is carried out under the supervision of a medical team specialized in infection control, adding: "All hospitals are subject to the transfer of the microbe," denying that there is any delay in dealing with it.
    In the same context, Dr. Maryam Hussein, a pediatrician consultant, said that this microbe is one of the most dangerous microbes found in nurseries and causes the death of children due to severe inflammation.
    She added to the «Constitution»: «Therefore the closure of the nursery completely because the microbial quickly moves on the walls and walls and tools used, through nurses in the nursery».
    Dr. Ahmed Ramzy, infectious diseases specialist and infection control consultant, said that this microbial is one of the most famous microbes that are not affected by antibiotics. It is transmitted in hospitals by unclean hands, doctors, patients and nurses who deal with newborns and causes meningitis , Pneumonia, inflammation of the brain, and destruction of the respiratory system.
    "The sterilization of the nursery should be thoroughly sterilized immediately by means of sterilization companies," he said, adding that the usual cleansing with "water and chlorine" would not work with such a deadly microbe. Sterilization must be done using a device "Otto Clav," a sterilization degree of 121 degrees Celsius, for more than 20 minutes, and this for some tools, and should be disposed of plastic tools, such as "syringes" and "cannulas," because it can not be sterilized.

    http://www.dostor.org/1544245

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