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重症监护病房中的沙雷氏菌交叉感染。

Serratia cross-infection in an intensive therapy unit.

作者信息

Mutton K J, Brady L M, Harkness J L

出版信息

J Hosp Infect. 1981 Mar;2(1):85-91. doi: 10.1016/0195-6701(81)90010-4.

DOI:10.1016/0195-6701(81)90010-4
PMID:6176629
Abstract

During a 10-week period, 11 patients were involved in an outbreak of cross-infection with a non-pigmented strain of Serratia marcescens resistant to sulphonamides, trimethoprim, ampicillin, tetracycline, chloramphenicol, cephalexin, gentamicin, tobramycin, colistin, ticarcillin and kanamycin. The problem was confined to the intensive therapy areas of the hospital. The organism was apparently spread by a nursing sister who harboured it in a paronychial lesion. Prolonged carriage of S. marcescens was demonstrated. Methods of investigation of the outbreak and the measures adopted to terminate it are described.

摘要

在为期10周的时间里,11名患者卷入了一起由一株对磺胺类药物、甲氧苄啶、氨苄青霉素、四环素、氯霉素、头孢氨苄、庆大霉素、妥布霉素、黏菌素、替卡西林和卡那霉素耐药的非色素产黏液沙雷菌引起的交叉感染暴发事件。问题局限于医院的重症治疗区域。该病菌显然是由一名护理姐妹传播的,她的甲沟炎病灶中携带了这种病菌。已证实产黏液沙雷菌存在长期携带情况。本文描述了此次暴发事件的调查方法以及为终止暴发所采取的措施。

相似文献

1
Serratia cross-infection in an intensive therapy unit.重症监护病房中的沙雷氏菌交叉感染。
J Hosp Infect. 1981 Mar;2(1):85-91. doi: 10.1016/0195-6701(81)90010-4.
2
Continued surveillance of Serratia marcescens infections by bacteriocin typing: investigation of two outbreaks of cross-infection in an intensive care unit.通过细菌素分型持续监测粘质沙雷氏菌感染:重症监护病房两起交叉感染暴发的调查
Appl Microbiol. 1972 May;23(5):982-5. doi: 10.1128/am.23.5.982-985.1972.
3
Outbreak of multidrug-resistant Serratia marcescens infection in a neonatal intensive care unit.新生儿重症监护病房多药耐药粘质沙雷菌感染暴发
Infect Control Hosp Epidemiol. 2008 May;29(5):418-23. doi: 10.1086/587969.
4
[Hospital infection due to Serratia marcescens and its sensitivity to antibiotics].[粘质沙雷氏菌引起的医院感染及其对抗生素的敏感性]
Bol Med Hosp Infant Mex. 1980 Sep-Oct;37(5):871-7.
5
Serratia marcescens in hospital practice.医院环境中的粘质沙雷氏菌
Lancet. 1977 Feb 5;1(8006):306-7. doi: 10.1016/s0140-6736(77)91851-7.
6
Infection with netilmicin resistant Serratia marcescens in a special care baby unit.在一个特殊护理婴儿病房中感染耐奈替米星的粘质沙雷菌。
Br Med J (Clin Res Ed). 1983 Dec 3;287(6406):1701-5. doi: 10.1136/bmj.287.6406.1701.
7
Serratia marcescens: use of detailed characterization of strains to evaluate an increase of isolates in an intensive care unit.粘质沙雷氏菌:利用菌株的详细特征评估重症监护病房中分离株数量的增加
Am J Med Sci. 1973 Dec;266(6):447-52.
8
Outbreak of Serratia marcescens colonization and infection traced to a healthcare worker with long-term carriage on the hands.粘质沙雷氏菌定植和感染的暴发追溯到一名手部长期携带该菌的医护人员。
Infect Control Hosp Epidemiol. 2006 Nov;27(11):1153-8. doi: 10.1086/508818. Epub 2006 Oct 23.
9
Infection in the intensive care unit.重症监护病房中的感染。
Aust N Z J Surg. 1976 Nov;46(4):318-21. doi: 10.1111/j.1445-2197.1976.tb03241.x.
10
Detection of Serratia outbreaks in hospital.医院中沙雷氏菌暴发的检测。
Lancet. 1976 Aug 28;2(7983):455-9. doi: 10.1016/s0140-6736(76)92539-3.

引用本文的文献

1
Effectiveness of healthcare worker screening in hospital outbreaks with gram-negative pathogens: a systematic review.医疗机构中革兰氏阴性病原菌暴发时医护人员筛查的效果:系统综述。
Antimicrob Resist Infect Control. 2018 Mar 9;7:36. doi: 10.1186/s13756-018-0330-4. eCollection 2018.
2
Serratia infections: from military experiments to current practice.沙雷氏菌感染:从军事实验到当前实践。
Clin Microbiol Rev. 2011 Oct;24(4):755-91. doi: 10.1128/CMR.00017-11.
3
Bacterial hand contamination and transfer after use of contaminated bulk-soap-refillable dispensers.
使用受污染的散装皂 refillable 分配器后手部细菌污染和转移。
Appl Environ Microbiol. 2011 May;77(9):2898-904. doi: 10.1128/AEM.02632-10. Epub 2011 Mar 18.
4
Epidemiological and bacteriological investigation of Serratia marcescens epidemic in a nursery and in a neonatal intensive care unit.某托儿所及新生儿重症监护病房粘质沙雷氏菌疫情的流行病学和细菌学调查
J Hyg (Lond). 1984 Aug;93(1):67-78. doi: 10.1017/s0022172400060940.