Manuscript Structure:
Length of article is: Adequate
Number of tables is: Adequate
Number of figures is: Adequate
Please state any conflict(s) of interest that you have in relation to the review of this paper (state “none” if this is not applicable): None
Comments
This study highlights critical data regarding hospital outbreaks due to inadequate handling and storage of contaminated materials. This issue likely occurs in numerous Brazilian hospitals.
The study, however, is not original and exhibits some limitations in investigating potential sources of Enterococcus dissemination and characterizing the strains. The advent of the COVID-19 pandemic significantly disrupted health services and the control of nosocomial infections.
One pertinent aspect that could have been discussed is the necessity imposed by the pandemic context to allocate inadequately trained personnel to assist patients in the ICU, potentially contributing to technical failures during patient care.
The authors could have conducted an epidemiological assessment, such as a case-control study, to characterize temporal relationships and identify risk factors cautiously.
Despite these limitations, it is crucial to recognize that these outbreaks occurred and that, from an operational standpoint, they were effectively controlled.
