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- Title
Colonization by multidrug-resistant microorganisms of hospitalized newborns and their mothers in the neonatal unit context.
- Authors
Sakai, Andressa Midori; Nicolino Iensue, Thayla Nadrielly Aparecida; Pereira, Kauana Olanda; Andrade de Souza, Nathália Aparecida; Silva, Claudineia Maria; de Almeida Salvador, Marta Silva; Rodrigues, Renne; Capobiango, Jaqueline Dario; Pelisson, Marsileni; Vespero, Eliana Carolina; Lioni, Lucy Megumi Yamauchi; Perugini, Marcia Regina Eches; Ogatta, Sueli Fumie Yamada; Rossetto, Edilaine Giovanini; Kerbauy, Gilselena
- Abstract
Introduction: The mother plays a fundamental role in the constitution and regulation of her child's healthy microbiota, however, preterm newborns are separated from their mothers soon after birth and transferred to Neonatal Intensive Care Units, being exposed the constant risk for the development of multidrug-resistant microorganisms' infections. The aim of this study was to explore the multidrug-resistant microorganism colonization of hospitalized babies and their mothers in the neonatal unit context. Methodology: A prospective case study conducted with hospitalized babies and their mothers in the Neonatal Unit at a university hospital. The sample was composed of 433 binomials (mother-child). Colonization culture samples were taken at the moment of the baby's discharge, via two swabs in the oral, nasal, axillary, inguinal, and rectal regions. Results: The colonization incidence among the binomials, 30 (6.9%) were both colonized by multi-resistant microorganisms. Mothers of colonized babies (24.4%) demonstrated a higher chance of colonization in comparison to mothers of non-colonized babies (11.9%) (p = 0.002). Relationships were drawn between baby colonization and prematurity, extremely low birth weight, and non-exclusive maternal breastfeeding (p<0.05). ESBL-producing Gram-negative microorganisms were more frequent in the cultures of the binomials, with 35.9% of the babies colonized with Klebsiella spp. ESBL and 42.0% of the mothers with Escherichia coli ESBL. Furthermore, 50% of the binomials were colonized with E. coli ESBL. Conclusion: The prematurity, extremely low birth weight, and non-exclusive breastfeeding at hospital discharge were associated with baby colonization by multidrug-resistant microorganism. Furthermore, mothers of colonized children presented higher chances of colonization.
- Subjects
MULTIDRUG resistance in bacteria; COLONIZATION; MOTHERS; LOW birth weight; MOTHER-child relationship
- Publication
Journal of Infection in Developing Countries, 2020, Vol 14, Issue 7, p765
- ISSN
2036-6590
- Publication type
Article
- DOI
10.3855/jidc.12091