Clayton J J, McHale-Owen J
Department of Microbiology, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
South Worcestershire Clinical Commissioning Group, Worcester, UK.
J Hosp Infect. 2014 Dec;88(4):222-5. doi: 10.1016/j.jhin.2014.09.007. Epub 2014 Oct 2.
This article reports a significant outbreak of Clostridium difficile ribotype 027 infection in a residential care home in the UK. Five of six affected residents died within one month of diagnosis. Investigation of the facility revealed problems with hand hygiene and environmental cleaning. Affected residents had received a mean of 2.7 antibiotic courses in the two months preceding diagnosis. It is important to recognize that C. difficile outbreaks can occur in residential homes. There is a need for health- and social-care systems to work closely together to assure the safety of people in their care.
本文报道了英国一家养老院艰难梭菌核糖型027感染的一次重大暴发。六名受影响居民中有五人在诊断后一个月内死亡。对该机构的调查发现了手部卫生和环境清洁方面的问题。受影响居民在诊断前两个月平均接受了2.7个疗程的抗生素治疗。认识到艰难梭菌暴发可能发生在养老院很重要。卫生和社会护理系统需要密切合作，以确保其所护理人员的安全。
