Sirinavin S, Hotrakitya S, Suprasongsin C, Wannaying B, Pakeecheep S, Vorachit M
Department of Paediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Hosp Infect. 1991 Jul;18(3):231-8. doi: 10.1016/0195-6701(91)90147-z.
An outbreak of neonatal infection with Salmonella urbana in three neonatal wards of a teaching hospital in Bangkok, Thailand is described. The outbreak lasted for 5 days. Fifty-seven neonates had gastrointestinal infection, 37 had diarrhoea, and three had bacteraemia. The attack rates were 43% for infection, 29% for diarrhoea, and 2.3% for bacteraemia. Epidemiological evaluation suggested that a contaminated wash basin in the labour nursery was the source of infection. Delay in controlling this outbreak occurred because the staff assumed that person-to-person transmission was the mode of spread, thus ignoring epidemiological data that would have led to the identification of the source of infection.
本文描述了泰国曼谷一家教学医院的三个新生儿病房爆发的城市沙门氏菌新生儿感染事件。疫情持续了5天。57名新生儿发生胃肠道感染，37名腹泻，3名发生菌血症。感染的发病率为43%，腹泻为29%，菌血症为2.3%。流行病学评估表明，产房的一个受污染洗脸盆是感染源。由于工作人员认为人际传播是传播方式，从而忽略了本可导致查明感染源的流行病学数据，导致此次疫情控制出现延误。
