A cluster of hemodialysis-related bacteremia linked to artificial fingernails

被引:19
作者
Gordin, Fred M.
Schultz, Maureen E.
Huber, Ruth
Zubairi, Sabiha
Stock, Frida
Kariyil, Joseph
机构
[1] George Washington Univ, Vet Affairs Med Ctr, Washington, DC 20052 USA
[2] George Washington Univ, Dept Med, Washington, DC 20052 USA
[3] NIH, Ctr Clin, Dept Lab Med, Washington, DC USA
关键词
D O I
10.1086/517977
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We examined a cluster of 5 hemodialysis patients who contracted gram-negative bacteremia. A nurse who used an artificial fingernail to open a vial of heparin that was mixed to make a flush solution had a culture of an artificial fingernail specimen positive for Serratia marcescens. The typing of the S. marcescens strains isolated from the 5 patients and the nurse showed them to be identical. This finding provides strong support for policies prohibiting artificial nails for healthcare workers in all hemodialysis units.
引用
收藏
页码:743 / 744
页数:2
相关论文
共 10 条
[1]  
Allon M, 2004, AM J KIDNEY DIS, V44, P779, DOI 10.1016/S0272-6386(04)01078-9
[2]  
BOYCE JM, 2002, MMWR RECOMM REP, V51, P29
[3]   Endemic Pseudomonas aeruginosa infection in a neonatal intensive care unit [J].
Foca, M ;
Jakob, K ;
Whittier, S ;
Della Latta, P ;
Factor, S ;
Rubenstein, D ;
Saiman, L .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (10) :695-700
[4]   Outbreak of extended-spectrum beta-lactamase-producing Klebsiella pneumoniae in a neonatal intensive care unit linked to artificial nails [J].
Gupta, A ;
Della-Latta, P ;
Todd, B ;
San Gabriel, P ;
Haas, J ;
Wu, F ;
Rubenstein, D ;
Saiman, L .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2004, 25 (03) :210-215
[5]   Bacterial infections in hemodialysis patients: Pathogenesis and prevention [J].
Jaber, BL ;
Madias, NE ;
Sarmento, A ;
Ferreira, A ;
Appel, G ;
Ponce, P ;
Rodrigues, A ;
Fernandez, JC ;
Martins, P .
KIDNEY INTERNATIONAL, 2005, 67 (06) :2508-2519
[6]   Effect of hand cleansing with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers [J].
McNeil, SA ;
Foster, CL ;
Hedderwick, SA ;
Kauffman, CA .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (03) :367-372
[7]   A prolonged outbreak of Pseudomonas aeruginosa in a neonatal intensive care unit:: Did staff fingernails play a role in disease transmission? [J].
Moolenaar, RL ;
Crutcher, JM ;
San Joaquin, VH ;
Sewell, LV ;
Hutwagner, LC ;
Carson, LA ;
Robison, DA ;
Smithee, LMK ;
Jarvis, WR .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2000, 21 (02) :80-85
[8]   Candida osteomyelitis and diskitis after spinal surgery: An outbreak that implicates artificial nail use [J].
Parry, MF ;
Grant, B ;
Yukna, M ;
Adler-Klein, D ;
McLeod, GX ;
Taddonio, R ;
Rosenstein, C .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (03) :352-357
[9]   Postoperative Serratia marcescens wound infections traced to an out-of-hospital source [J].
Passaro, DJ ;
Waring, L ;
Armstrong, R ;
Bolding, F ;
Bouvier, B ;
Rosenberg, J ;
Reingold, AW ;
McQuitty, M ;
Philpott, SM ;
Jarvis, WR ;
Werner, SB ;
Tompkins, LS ;
Vugia, DJ .
JOURNAL OF INFECTIOUS DISEASES, 1997, 175 (04) :992-995
[10]  
Tsay Ren-Wen, 2005, Journal of Microbiology Immunology and Infection, V38, P194