Invasive disease due to extended spectrum bata-lactamase-producing Klebsiella pneumoniae in a neonatal unit:: the possible role of cockroaches

被引:71
作者
Cotton, MF
Wasserman, E
Pieper, CH
Theron, DC
van Tubbergh, D
Campbell, G
Fang, FC
Barnes, J
机构
[1] Univ Stellenbosch, Dept Paediat & Child Hlth, Fac Med, ZA-7505 Tygerberg, South Africa
[2] Univ Stellenbosch, Dept Med Microbiol, ZA-7505 Tygerberg, South Africa
[3] Univ Stellenbosch, Dept Community Med, ZA-7505 Tygerberg, South Africa
[4] Tygerberg Hosp, ZA-7505 Tygerberg, South Africa
[5] Univ Colorado, Hlth Sci Ctr, Dept Med, Denver, CO 80262 USA
[6] Univ Colorado, Hlth Sci Ctr, Dept Pathol, Denver, CO 80262 USA
[7] Univ Colorado, Hlth Sci Ctr, Dept Microbiol, Denver, CO 80262 USA
基金
英国医学研究理事会;
关键词
cockroach; extended spectrum beta-lactamase-producing Klebsiella pneumoniae; infant; newborn; pulsed-field gel electrophoresis;
D O I
10.1053/jhin.1999.0650
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We recently experienced an outbreak of nosocomial disease due to extended spectrum beta-lactamase-producing Klebsiella pneumoniae in a neonatal unit infested with cockroaches. Organisms isolated from cockroaches were indistinguishable by pulsed-field gel electrophoresis from those colonizing infants or causing clinical disease using. Cockroach elimination together with standard infection-control measures resulted in control of the outbreak. We suggest cockroaches are possible vectors of pathogenic bacteria in the hospital environment. (C) 2000 The Hospital Infection Society.
引用
收藏
页码:13 / 17
页数:5
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