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一家妇产医院发生耐甲氧西林金黄色葡萄球菌感染暴发。

A maternity hospital outbreak of methicillin-resistant Staphylococcus aureus.

作者信息

Moore E P, Williams E W

机构信息

University Department of Microbiology, Bristol Royal Infirmary.

出版信息

J Hosp Infect. 1991 Sep;19(1):5-16. doi: 10.1016/0195-6701(91)90123-p.

DOI:10.1016/0195-6701(91)90123-p
PMID:1684598
Abstract

A maternity hospital outbreak of methicillin-resistant Staphylococcus aureus with a strain other than EMRSA-1 is described. In contrast to previously documented outbreaks, which have usually centered on special care baby units, this outbreak mainly involved the routine ante-natal and postnatal wards. Thirty-seven mothers, 18 babies and nine staff were affected over a 6-week period. The high turnover of very mobile maternity patients and the open-plan design of the hospital influenced the course of the outbreak and adversely affected implementation of infection control measures. Significant environmental contamination and a very high rate of maternal perineal MRSA colonization were notable epidemiological features.

摘要

本文描述了一家妇产医院发生的耐甲氧西林金黄色葡萄球菌(MRSA)暴发疫情,该菌株不同于EMRSA-1。与之前记录的通常以特殊护理婴儿病房为中心的暴发疫情不同,此次暴发主要涉及常规产前和产后病房。在6周的时间里,37名母亲、18名婴儿和9名工作人员受到影响。流动性很强的产妇周转频繁以及医院开放式的设计影响了疫情的发展,并对感染控制措施的实施产生了不利影响。显著的环境污染和产妇会阴部MRSA定植的高发生率是值得注意的流行病学特征。

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引用本文的文献

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MRSA and the environment: implications for comprehensive control measures.耐甲氧西林金黄色葡萄球菌与环境:对综合控制措施的影响
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Microbiologic surveillance using nasal cultures alone is sufficient for detection of methicillin-resistant Staphylococcus aureus isolates in neonates.
仅使用鼻腔培养进行微生物监测就足以检测新生儿中耐甲氧西林金黄色葡萄球菌分离株。
J Clin Microbiol. 2003 Jun;41(6):2755-7. doi: 10.1128/JCM.41.6.2755-2757.2003.
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Demonstration of mother-to-infant transmission of Staphylococcus aureus by pulsed-field gel electrophoresis.
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