Bir yenidogan yogun bakim biriminde adenovirus salgin yonetimi
Aim: Epidemic conjunctivitis caused by adenovirus frequently spreads by direct contact during ophtalmologic examination This report is written nbsp; to share our nbsp; experience of an adenovirus epidemic in our neonatal intensive care unit Material and Method: The detailed medical and infection control committee records of the newborns cared in Ege University neonatal intensive care unit and the personnel together in the period between 09 14 2009 10 17 2009 were used in this report Conjunctiva nasopharynx and stool samples were collected from 15 patients hospitalized in the service 9 girls 6 boys and from 25 personnel Weekly samples were collected from infants during the epidemic Direct fluorescence antibody test and nbsp; ldquo;shell vial rdquo; cell culture method were conducted synchronously in all samples Adenovirus conjunctivitis was diagnosed according to clinical evidence and or detection of adenovirus in direct fluorescence antibody test and cell cultures SPSS 13 0 statistics programme was used for analysis Results: Severe conjunctivitis occurred within 3 days of fundus examination for screening of retinopathy of prematurity in 5 newborns who were examined in the same day in the ophtalmologist who examined the infants and in 2 newborns who were not examined nbsp; Ten of 15 infants who were cared in the neonatal intensive care unit during this epidemic had conjunctivitis Five of these patients had also gastroenteritis Five nurses had conjunctivitis and had a leave for therapy and isolation Adenovrus was detected in direct fluorescence antibody test and cell culture in one nurse Adenovirus antigen was detected in 3 conjunctival swabs and 1 tracheal aspirate in symptomatic nbsp; infants nbsp; The diagnosis was confirmed with tissue cultures In addition to standard precautions droplet precautions were also taken with the recommendation of Infection Control Committee Conclusions: The meticulous infection control measures including nbsp; closing the unit to new admissions detailed cleaning and decontamination of neonatal intensive care unit prevented the epidemic to spread further and limited the duration of the epidemic A second epidemic did not occur and all patients recovered Turk Arch Ped 2011; 46: 194 8