Hsu R B, Chen M L, Chang S C, Ko W J, Chou N K, Wang S S, Chu S H
Department of Surgery, National Taiwan University Hospital, Taipei, Republic of China.
Tex Heart Inst J. 2001;28(1):60-2.
We report the case of a 56-year-old man who developed bacterial mediastinitis with methicillin-resistant Staphylococcus aureus after undergoing heart transplantation. He had a history of insulin-dependent diabetes mellitus and prior cardiac surgery. To find the source of nosocomial infection, we cultured nasal swab specimens from all hospital personnel involved in this operation. We used antibiotic sensitivity profiling and pulsed-field gel electrophoresis to subtype the involved microorganism. The S. aureus isolates from the patient and the perfusionist were identical to each other and were different from the strains previously found in our hospital. It is almost certain that the S. aureus mediastinitis in this patient was transmitted from the perfusionist. We recommend obtaining cultures from hospital staff members when there is an outbreak of staphylococcal infection.
我们报告了一例56岁男性患者的病例，该患者在心脏移植术后发生了耐甲氧西林金黄色葡萄球菌引起的细菌性纵隔炎。他有胰岛素依赖型糖尿病病史且曾接受过心脏手术。为了找出医院感染的源头，我们对参与此次手术的所有医院工作人员的鼻拭子标本进行了培养。我们使用抗生素敏感性分析和脉冲场凝胶电泳对所涉及的微生物进行亚型分析。从患者和灌注师身上分离出的金黄色葡萄球菌彼此相同，且与我院之前发现的菌株不同。几乎可以确定，该患者的金黄色葡萄球菌纵隔炎是由灌注师传播的。我们建议在发生葡萄球菌感染暴发时，对医院工作人员进行培养。
