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Staphylococcal Scalded Skin Syndrome (SEPE): Diagnosis and Treatment: Outbreak Control Presented in a Neonatal Unit at a Clinic in Monteria Colombia 2021

Rafael Chica Polo, Hector Rafael Pineda Roman, Maria Jose soto Sanchez, Maria Jose Vertel Argel, Viviana Patricia Ibarra Ramirez, Andrea Eloisa Ruiz Quintero, Soraya Escudero Hoyos, Jiseth Paola Avilez Aleman, Carlos Mauricio Vergara Lobo*

Objective: Staphylococcal scalded skin syndrome (SEPE) is a reaction to a staphylococcal skin infection in which blisters form on the skin due to a staphylococcal toxin, which is common in infants and children. In the following observational study, the appearance of cases of a staphylococcal scalded skin syndrome (SEPE) in a neonatal intensive care unit (epidemiological outbreak) associated with health care (IAAS) is analyzed and the importance of having an infection committee in the service-providing institutions for the containment of these events is highlighted.

Materials and Methods: We reported an outbreak of scalded skin staphylococcal syndrome, over a period of 4 weeks, in a neonatal intensive care unit in the city of Montería Colombia 2021, intervention measures by the institution’s infection committee to resolve the events presented.

Results: Eight patients with suggestive characteristics of SEPE were identified between May and June 2021. The germ responsible for these events was the resistant Staphylococcus Aureus methicillin, resistant to Clindamycin, sensitive to Vancomycin, Lenezolid, identified in the blister secretion in one of these patients.

Conclusions: Staphylococcal scalded skin syndrome is a common condition in childhood, mediated by toxin-producing strains of Staphylococcus aureus. The inappropriate approach can represent complications in the child in addition to an epidemiological outbreak, which is the appearance or increase of cases in a certain population. These cases occurred in a service provider entity (IAAS), it is of great importance to have the committee of infections and the participation of senior management is fundamental to the resolution of the appearance of adverse events presented in the institutions.