Neonatal sepsis outbreak at the first maternity hospital of Ulaanbaatar

Results In Januaryof 2010, 21 neonatal infection cases with 2 death reported were screened by clinical signs. 76.2% of them had cesarean delivery and 23.8% were given normal birth. Clinical presentations were fever 100%, cyanosis 76%, breath distress 65%, abdominal filling 59%, abdominal vein unroll 53%, hyperbilirubinemia 53%, irritability 47% and rigidity 12%. Clinical samplings gathered from 18 neonates and 12 /66.6%/ of them were detected multi resistant Klebsiella pneumonia. there are collected 33 environmental swabs. 27.2% of them have culture positive, including staphylococcus with resistance to ampicillin, streptococcus with sensitive to vancomycin, gram positive and gram negative bacteria and micrococcus resistance to vancomycin. 25% of 8 swabs collected from mothers of 2nd ward had culture positive, including enterococcus with resistance to vancomycin and bacillus cereus. In air bacteriological sampling results determined 6 staphylococcus hemolyticus. 8 health care workers had Staphylococcus aureus in nasal swabs, 1 had streptococcus pneumonia and klebsiella pmeumonea which were detected from 5 neonates nasal swabs, blood and wounds.