热带念珠菌单源暴发并发冠状动脉搭桥手术
Single-source outbreak of Candida tropicalis complicating coronary bypass surgery.
作者信息
Isenberg H D, Tucci V, Cintron F, Singer C, Weinstein G S, Tyras D H
机构信息
Division of Microbiology, Long Island Jewish Medical Center, Albert Einstein College of Medicine, New Hyde Park, New York.
出版信息
J Clin Microbiol. 1989 Nov;27(11):2426-8. doi: 10.1128/jcm.27.11.2426-2428.1989.
Abstract
Candida tropicalis was isolated from the sternal wounds of eight coronary bypass patients from 18 to 89 days postoperatively; infections were limited to soft tissue in five patients but involved the sternum in three patients. Analysis of surgery records implicated one individual as the potential source of the yeast; this was confirmed by microbiological studies of fingertips and nasopharynx cultures of all personnel in contact with these patients. Only the suspect nurse, then acting as a scrub nurse and not as a circulator, infected the eight patients. Her removal from the cardiac team terminated the cluster outbreak.
摘要
热带念珠菌是从8名冠状动脉搭桥手术患者术后18至89天的胸骨伤口中分离出来的；5名患者的感染仅限于软组织，但3名患者的感染累及胸骨。手术记录分析表明有一人可能是这种酵母菌的来源；对所有接触这些患者的人员的指尖和鼻咽培养物进行的微生物学研究证实了这一点。只有那名嫌疑护士，当时担任刷手护士而非巡回护士，感染了这8名患者。将她从心脏手术团队中调离后，这一系列感染事件就终止了。
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