OUTBREAK OF SALMONELLA EIMSBUETTEL IN NEWBORN INFANTS SPREAD BY RECTAL THERMOMETERS

OUTBREAK OF SALMONELLA EIMSBUETTEL IN NEWBORN INFANTS SPREAD BY RECTAL THERMOMETERS
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通过直肠温度计传播新生儿沙门氏菌 EIMSBUETTEL

DOI:
10.1016/s0140-6736(86)91397-8
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发表时间:
1986
期刊:
The Lancet
影响因子:
--
通讯作者:
T. Turner
T. Turner
中科院分区:
--
文献类型:
--
作者:
T. A. Mcallister;A. Marshall;J. A. Roud;B. Holland;T. Turner

文献摘要

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在六周的时间里,在一家年分娩人数为3600人的现代妇产医院,新生儿、母亲和工作人员中出现了25例艾姆斯勃特沙门氏菌感染。可能的传染源是一位母亲和她的孩子,病菌是通过产房和其中一个厢房(病房)的直肠温度计传播的。当温度计停止使用并正确消毒后,婴儿中的爆发停止了。通过对主要受影响的临床区域进行关闭、清洁和消毒,制止了工作人员环境交叉感染。一些婴儿得了腹泻,但很快就恢复了,没有人受到伤害。受感染的员工没有任何症状,并在三次阴性培养后返回工作岗位。测量体温在新生儿护理中仍然是一项重要的观察,但对于日常护理,建议停止直肠测温,代之以腋窝测温。
Over a six-week period there were 25 episodes ofSalmonella eimsbuettelinfection in newborn infants, mothers, and staff in a modern maternity hospital with 3600 annual deliveries. The probable source was a mother and her child, and the organism was spread by rectal thermometers in the labour suite and one of the wings (wards). When the thermometers were withdrawn from use and correctly disinfected the outbreak in babies ceased. Environmental cross-infection of staff was halted by closure, cleaning, and disinfection of the clinical area mainly affected. Some babies had diarrhoea but quickly recovered, and none came to harm. The infected staff had no symptoms and returned to duty after three negative cultures. Measurement of temperature is still an important observation in the care of newborn infants, but for everyday care it is recommended that rectal thermometry be discontinued and replaced by axillary measurement.