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Persistent bacterial risk: admission stop to the premature ward extended


University Hospital Tübingen extends admission stop for premature babies
For about a week now there has been an admission freeze at the premature birth station of the University Hospital in Tübingen due to the detection of bacteria of the genus Enterobacter aerogenes in several children. Now this admission stop has been extended because another premature baby has been identified with the bacterium.

The "admission freeze to the premature intensive care unit remains", according to the current announcement from the University Hospital Tübingen. Another child identified in the last week was colonized with the enterobacter aerogenes. The decision on the duration of the admission freeze for premature babies is dependent on a series of further examinations that will be carried out in the coming days, reports the University Hospital.

Several children colonized with the bacteria
Since mid-August, colonization with the intestinal bacteria has been observed in several children at the neonatology department of the University Hospital in Tübingen, which can lead to an increased infection in premature babies. The settlement was proven during routine and close checks, and extensive precautionary measures were initiated in consultation with the Tübingen Health Office, explains the university hospital.

Another child identified
As a precaution, a precautionary admission stop was imposed in the premature baby station, which has now been extended due to the spread of the bacterium. When evaluating all the current test results, another child colonized with the bacterium was identified, reports the University Hospital Tübingen. The child is so far healthy and there is no infection. The evidence shows that the close-knit controls and hygiene measures are effective, says Professor Dr. Ingo Autenrieth, Medical Director of the Institute for Medical Microbiology and Hygiene.

Duration of the recording stop unclear
"As part of the extension of the admission freeze, the intensive preventive measures will continue after consultation with the Tübingen Health Department," the university hospital said. A series of further studies will show how long the admission freeze applies to premature babies. According to Professor Dr. Christian Poets, medical director of neonatology and neonatological intensive care, takes the colonization of extremely prematurely born children with the enterobacter aerogenes very seriously, even if this has only resulted in one infection so far. "All children born very early are doing well," emphasizes Professor Poets.

Departments for women's health Tübingen not affected
The University Hospital Tübingen explicitly points out that the departments and areas of the Department of Women's Health in Tübingen such as the delivery room, the operating room, the outpatient department, the breast cancer center and the patient rooms are not affected by the current situation in neonatology. The extensive patient care in obstetrics and women's clinics remains unaffected by the measures. All matured children and emergencies can be cared for in Tübingen and all pregnant women are in safe hands at the university gynecological clinic, according to the university clinic. High-risk pregnancies would also continue to be cared for.

"As soon as the premature babies are mature and can be released home, the germ can no longer harm them," reports Professor Dr. Christian Poets. From then on, like all small and large people, the bacterium would be part of the normal intestinal flora. The entire Department of Women's Health is grateful that "the clinics in the region have given us so much support," emphasizes Professor Dr. Diethelm Wallwiener, Medical Director of the University Women's Clinic. (fp)

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Video: Managing Risks for Premature Babies (June 2021).