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新生儿病房中由产超广谱β-内酰胺酶肺炎克雷伯菌引起的侵袭性疾病:蟑螂的潜在作用

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

作者信息

Cotton M F, Wasserman E, Pieper C H, Theron D C, van Tubbergh D, Campbell G, Fang F C, Barnes a J

机构信息

Departments of Paediatrics and Child Health, University of Stellenbosch and Tygerberg Hospital, 7505, South Africa.

出版信息

J Hosp Infect. 2000 Jan;44(1):13-7. doi: 10.1053/jhin.1999.0650.

DOI:10.1053/jhin.1999.0650
PMID:10633048
Abstract

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.

摘要

我们最近在一个蟑螂肆虐的新生儿病房经历了一次由产超广谱β-内酰胺酶的肺炎克雷伯菌引起的医院感染暴发。从蟑螂身上分离出的菌株,通过脉冲场凝胶电泳与那些定植在婴儿身上或引起临床疾病的菌株无法区分。消灭蟑螂并结合标准的感染控制措施,使得此次暴发得到了控制。我们认为蟑螂可能是医院环境中病原菌的传播媒介。

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