An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit
An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a period of 23 days. The index case presented with premature labour with chorioamnionitis caused by S. enteritidis. There was no history of diar...
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Published in | The Journal of hospital infection Vol. 34; no. 2; pp. 117 - 122 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Kent
Elsevier Ltd
01.10.1996
Elsevier |
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Abstract | An outbreak of
Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a period of 23 days. The index case presented with premature labour with chorioamnionitis caused by
S. enteritidis. There was no history of diarrhoea at the time of her admission or during her pregnancy. The absence of illness led to a delay in instituting standard isolation procedures until
S. enteritidis had been isolated from the placenta four days after delivery. It appeared that the resuscitator in the labour ward operating theatre acted as a reservoir for the initial transmission with secondary person-to-person spread. Early introduction of universal infection control measures including handwashing and appropriate disinfection of equipment would have prevented the outbreak. |
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AbstractList | An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a period of 23 days. The index case presented with premature labour with chorioamnionitis caused by S. enteritidis. There was no history of diarrhoea at the time of her admission of during her pregnancy. The absence of illness led to a delay in instituting standard isolation procedures until S. enteritidis had been isolated from the placenta four days after delivery. It appeared that the resuscitator in the labour ward operating theatre acted as a reservoir for the initial transmission with secondary person-to-person spread. Early introduction of universal infection control measures including handwashing and appropriate disinfection of equipment would have prevented the outbreak. An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a period of 23 days. The index case presented with premature labour with chorioamnionitis caused by S. enteritidis. There was no history of diarrhoea at the time of her admission or during her pregnancy. The absence of illness led to a delay in instituting standard isolation procedures until S. enteritidis had been isolated from the placenta four days after delivery. It appeared that the resuscitator in the labour ward operating theatre acted as a reservoir for the initial transmission with secondary person-to-person spread. Early introduction of universal infection control measures including handwashing and appropriate disinfection of equipment would have prevented the outbreak. An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a period of 23 days. The index case presented with premature labour with chorioamnionitis caused by S. enteritidis. There was no history of diarrhoea at the time of her admission or during her pregnancy. The absence of illness led to a delay in instituting standard isolation procedures until S. enteritidis had been isolated from the placenta four days after delivery. It appeared that the resuscitator in the labour ward operating theatre acted as a reservoir for the initial transmission with secondary person-to-person spread. Early introduction of universal infection control measures including handwashing and appropriate disinfection of equipment would have prevented the outbreak. |
Author | Fry, C.M. Azadian, B.S. Umasankar, S. Hannan, M.M. Mridha, E.U. |
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Cites_doi | 10.1056/NEJM196005052621806 10.1136/bmj.287.6396.891 10.1542/peds.22.4.689 10.1136/gut.13.4.251 10.1093/infdis/157.2.370 10.1093/clinids/6.3.345 10.1016/S0140-6736(73)91093-3 10.1016/0195-6701(87)90034-X |
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Keywords | Salmonella enteritidis outbreak maternity Human Epidemic Intensive care unit Infection Newborn Obstetrics clinics Bacteriosis Digestive diseases Bacteria Intestinal disease Salmonellosis Hospital Enterobacteriaceae |
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References | Black, Lawrence, Swarty (BIB3) 1960; 262 (BIB2) 1992 Tauxe, Lorraine, Findeisen, Sharrar, Blake (BIB8) 1988; 157 Palmer, Rowe (BIB6) 1983; 287 Watt, Wegman, Brown, Schliessmann, Maupin, Hemphill (BIB4) 1958; 22 Roberts, Wilkins (BIB11) 1987; 10 MacGregor, Reinhart (BIB7) 1973; 3 Buchwald, Blaser (BIB10) 1984; 6 Sockett, Conder, Le Baigue, Ross, Adak, Evans (BIB1) 1993; 2 Edwards, Curran, McCartney (BIB9) 1993; 3 Gianella, Broitman, Zancheck (BIB5) 1972; 13 Black (10.1016/S0195-6701(96)90136-X_BIB3) 1960; 262 Watt (10.1016/S0195-6701(96)90136-X_BIB4) 1958; 22 Roberts (10.1016/S0195-6701(96)90136-X_BIB11) 1987; 10 Palmer (10.1016/S0195-6701(96)90136-X_BIB6) 1983; 287 Sockett (10.1016/S0195-6701(96)90136-X_BIB1) 1993; 2 Edwards (10.1016/S0195-6701(96)90136-X_BIB9) 1993; 3 MacGregor (10.1016/S0195-6701(96)90136-X_BIB7) 1973; 3 (10.1016/S0195-6701(96)90136-X_BIB2) 1992 Buchwald (10.1016/S0195-6701(96)90136-X_BIB10) 1984; 6 Gianella (10.1016/S0195-6701(96)90136-X_BIB5) 1972; 13 Tauxe (10.1016/S0195-6701(96)90136-X_BIB8) 1988; 157 |
References_xml | – volume: 262 start-page: 921 year: 1960 end-page: 927 ident: BIB3 article-title: Salmonellosis. A review of some unusual aspects publication-title: New Engl J Med contributor: fullname: Swarty – volume: 3 start-page: 1001 year: 1973 end-page: 1003 ident: BIB7 article-title: Person to person spread of publication-title: Lancet contributor: fullname: Reinhart – volume: 13 start-page: 251 year: 1972 end-page: 256 ident: BIB5 article-title: Gastric acid barrier to ingested microorganisms in man studies publication-title: Gut contributor: fullname: Zancheck – volume: 3 start-page: R40 year: 1993 end-page: R42 ident: BIB9 article-title: Nosocomial salmonellosis publication-title: Commun Dis Rep Rev contributor: fullname: McCartney – start-page: 142 year: 1992 end-page: 169 ident: BIB2 article-title: Prevention of infection in Wards II, isolation of patients publication-title: Control of Hospital Infection – volume: 22 start-page: 689 year: 1958 end-page: 705 ident: BIB4 article-title: Salmonellosis in a premature nursery unaccompanied by diarrhoeal diseases publication-title: Pediatrics contributor: fullname: Hemphill – volume: 6 start-page: 345 year: 1984 end-page: 356 ident: BIB10 article-title: A review of human salmonellosis. Duration of excretion following infection with non-typhi publication-title: Rev Infect Dis contributor: fullname: Blaser – volume: 287 start-page: 891 year: 1983 end-page: 893 ident: BIB6 article-title: Investigation of outbreaks of publication-title: BMJ contributor: fullname: Rowe – volume: 10 start-page: 67 year: 1987 end-page: 72 ident: BIB11 article-title: Salmonella screening of pregnant women publication-title: J Hosp Infect contributor: fullname: Wilkins – volume: 2 start-page: 159 year: 1993 end-page: 173 ident: BIB1 article-title: Foodborne disease surveillance in England and Wales 1989–1991 publication-title: Commun Dis Rep Rev contributor: fullname: Evans – volume: 157 start-page: 370 year: 1988 end-page: 373 ident: BIB8 article-title: Salmonellosis in nurses: lack of transmission to patients publication-title: J Infect Dis contributor: fullname: Blake – volume: 262 start-page: 921 year: 1960 ident: 10.1016/S0195-6701(96)90136-X_BIB3 article-title: Salmonellosis. A review of some unusual aspects publication-title: New Engl J Med doi: 10.1056/NEJM196005052621806 contributor: fullname: Black – volume: 3 start-page: R40 year: 1993 ident: 10.1016/S0195-6701(96)90136-X_BIB9 article-title: Nosocomial salmonellosis publication-title: Commun Dis Rep Rev contributor: fullname: Edwards – volume: 2 start-page: 159 year: 1993 ident: 10.1016/S0195-6701(96)90136-X_BIB1 article-title: Foodborne disease surveillance in England and Wales 1989–1991 publication-title: Commun Dis Rep Rev contributor: fullname: Sockett – volume: 287 start-page: 891 year: 1983 ident: 10.1016/S0195-6701(96)90136-X_BIB6 article-title: Investigation of outbreaks of Salmonella in hospitals publication-title: BMJ doi: 10.1136/bmj.287.6396.891 contributor: fullname: Palmer – volume: 22 start-page: 689 year: 1958 ident: 10.1016/S0195-6701(96)90136-X_BIB4 article-title: Salmonellosis in a premature nursery unaccompanied by diarrhoeal diseases publication-title: Pediatrics doi: 10.1542/peds.22.4.689 contributor: fullname: Watt – volume: 13 start-page: 251 year: 1972 ident: 10.1016/S0195-6701(96)90136-X_BIB5 article-title: Gastric acid barrier to ingested microorganisms in man studies in vivo and in vitro publication-title: Gut doi: 10.1136/gut.13.4.251 contributor: fullname: Gianella – start-page: 142 year: 1992 ident: 10.1016/S0195-6701(96)90136-X_BIB2 article-title: Prevention of infection in Wards II, isolation of patients – volume: 157 start-page: 370 year: 1988 ident: 10.1016/S0195-6701(96)90136-X_BIB8 article-title: Salmonellosis in nurses: lack of transmission to patients publication-title: J Infect Dis doi: 10.1093/infdis/157.2.370 contributor: fullname: Tauxe – volume: 6 start-page: 345 year: 1984 ident: 10.1016/S0195-6701(96)90136-X_BIB10 article-title: A review of human salmonellosis. Duration of excretion following infection with non-typhi Salmonella publication-title: Rev Infect Dis doi: 10.1093/clinids/6.3.345 contributor: fullname: Buchwald – volume: 3 start-page: 1001 year: 1973 ident: 10.1016/S0195-6701(96)90136-X_BIB7 article-title: Person to person spread of Salmonella: a problem in hospitals? publication-title: Lancet doi: 10.1016/S0140-6736(73)91093-3 contributor: fullname: MacGregor – volume: 10 start-page: 67 year: 1987 ident: 10.1016/S0195-6701(96)90136-X_BIB11 article-title: Salmonella screening of pregnant women publication-title: J Hosp Infect doi: 10.1016/0195-6701(87)90034-X contributor: fullname: Roberts |
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Snippet | An outbreak of
Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a... An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit is described. The outbreak involved six babies and three mothers over a... |
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SubjectTerms | Adult Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Cross Infection - epidemiology Cross Infection - transmission Delivery Rooms Disease Outbreaks Equipment Contamination Female Human bacterial diseases Humans Infant, Newborn Infectious diseases Intensive Care Units, Neonatal London - epidemiology Male maternity Medical sciences outbreak Placenta - microbiology Pregnancy Salmonella enteritidis Salmonella enteritidis - isolation & purification Salmonella Infections - epidemiology Salmonella Infections - transmission |
Title | An outbreak of Salmonella enteritidis in a maternity and neonatal intensive care unit |
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