Serratia marcescens transmission in a pediatric intensive care unit: A multifactorial occurrence
Background: Fourteen patients in the pediatric cardiac intensive care unit (CICU) had ≥1 positive culture for a single strain of Serratia marcescens from April through December 1995 (study period). Objectives: To identify risk factors for S marcescens infection or colonization in a pediatric CICU. M...
Gespeichert in:
| Veröffentlicht in: | American journal of infection control 2001-04, Vol.29 (2), p.115-119 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 119 |
|---|---|
| container_issue | 2 |
| container_start_page | 115 |
| container_title | American journal of infection control |
| container_volume | 29 |
| creator | Manning, Mary Lou Archibald, Lennox K. Bell, Louis M. Banerjee, Shailen N. Jarvis, William R. |
| description | Background: Fourteen patients in the pediatric cardiac intensive care unit (CICU) had ≥1 positive culture for a single strain of Serratia marcescens from April through December 1995 (study period). Objectives: To identify risk factors for S marcescens infection or colonization in a pediatric CICU. Methods: Retrospective case-control study. Assessment of CICU infection control practices and patient exposure to CICU health care workers (HCWs). Epidemiologic-directed cultures of the environment and HCWs’ hands were obtained. Setting: Pediatric CICU. Patients: Fourteen patients in the pediatric CICU had ≥1 positive culture for a single strain of S marcescens from April through December 1995 (study period). CICU patients who did not have S marcescens infection or colonization during the study period were randomly selected as controls. Results: A case patient was more likely than a noncase patient to have exposure to a single HCW (odds ratio [OR], 19.5; 95% CI, 2.6-416; P |
| doi_str_mv | 10.1067/mic.2001.114222 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77026975</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0196655301741788</els_id><sourcerecordid>77026975</sourcerecordid><originalsourceid>FETCH-LOGICAL-c437t-4e753444c494df1fb2ea66bb35f0012ff08d4c88893899738984626ea0f7a2f93</originalsourceid><addsrcrecordid>eNp1kU1LXDEUhkOp6Dh13V0JFNzdMcnNzUd3IlYFwYXtOs2cewIp92NMcgX_vRlmsKtucgg855y8Twj5ytmGM6WvxggbwRjfcC6FEJ_IindCN62w6jNZMW5Vo7quPSPnOf9ljNlWdafkjHNhtDFsRf48Y0q-RE9HnwAz4JRpSX7KY8w5zhONE_V0h330JUWo11KR-IoUfEK6TLH8oNd0XIYSg4cyp-gHOgMsKeEE-IWcBD9kvDjWNfn98_bXzX3z-HT3cHP92IBsdWkk6q6VUoK0sg88bAV6pbbbtgs1ngiBmV6CMca2xlpdDyOVUOhZ0F4E267J5WHuLs0vC-biagDAYfATzkt2WjOhbF2yJlcHENKcc8LgdinW8G-OM7eXWhvB7aW6g9Ta8e04etmO2P_jjxYr8P0I-Ax-CFUfxPzBWVO_Q1XKHiisGl4jJpch7hX1MSEU18_xv094B58akuA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77026975</pqid></control><display><type>article</type><title>Serratia marcescens transmission in a pediatric intensive care unit: A multifactorial occurrence</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Manning, Mary Lou ; Archibald, Lennox K. ; Bell, Louis M. ; Banerjee, Shailen N. ; Jarvis, William R.</creator><creatorcontrib>Manning, Mary Lou ; Archibald, Lennox K. ; Bell, Louis M. ; Banerjee, Shailen N. ; Jarvis, William R.</creatorcontrib><description>Background: Fourteen patients in the pediatric cardiac intensive care unit (CICU) had ≥1 positive culture for a single strain of Serratia marcescens from April through December 1995 (study period). Objectives: To identify risk factors for S marcescens infection or colonization in a pediatric CICU. Methods: Retrospective case-control study. Assessment of CICU infection control practices and patient exposure to CICU health care workers (HCWs). Epidemiologic-directed cultures of the environment and HCWs’ hands were obtained. Setting: Pediatric CICU. Patients: Fourteen patients in the pediatric CICU had ≥1 positive culture for a single strain of S marcescens from April through December 1995 (study period). CICU patients who did not have S marcescens infection or colonization during the study period were randomly selected as controls. Results: A case patient was more likely than a noncase patient to have exposure to a single HCW (odds ratio [OR], 19.5; 95% CI, 2.6-416; P <.003); however, this association was not adequately explained by epidemiologic or microbiologic studies. Interviews suggested that during the outbreak period, handwashing frequency among HCWs might have been reduced because of severe hand dermatitis. Conclusions: A combination of factors, including breaks in aseptic technique, reduced frequency of handwashing among HCWs before and between caring for patients, decreased attention to infection control practices, and environmental contamination may have indirectly contributed to this S marcescens infections outbreak. (AJIC Am J Infect Control 2001;29:115-9)</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1067/mic.2001.114222</identifier><identifier>PMID: 11287880</identifier><language>eng</language><publisher>St. Louis, MO: Mosby, Inc</publisher><subject>Adolescent ; Bacterial diseases ; Biological and medical sciences ; Child ; Child, Preschool ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Cross Infection - prevention & control ; Cross Infection - transmission ; Disease Outbreaks - prevention & control ; Disease Outbreaks - statistics & numerical data ; Female ; Hand Disinfection - methods ; Hand Disinfection - standards ; Hospitals, Pediatric ; Human bacterial diseases ; Humans ; Infant ; Infant, Newborn ; Infection Control - methods ; Infection Control - standards ; Infectious diseases ; Intensive Care Units, Pediatric ; Male ; Medical sciences ; Miscellaneous ; Nursing Staff, Hospital - education ; Nursing Staff, Hospital - psychology ; Odds Ratio ; Philadelphia - epidemiology ; Retrospective Studies ; Risk Factors ; Seasons ; Serratia Infections - epidemiology ; Serratia Infections - microbiology ; Serratia Infections - prevention & control ; Serratia Infections - transmission ; Serratia marcescens ; Surveys and Questionnaires</subject><ispartof>American journal of infection control, 2001-04, Vol.29 (2), p.115-119</ispartof><rights>2001 Association for Professionals in Infection Control and Epidemiology, Inc</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-4e753444c494df1fb2ea66bb35f0012ff08d4c88893899738984626ea0f7a2f93</citedby><cites>FETCH-LOGICAL-c437t-4e753444c494df1fb2ea66bb35f0012ff08d4c88893899738984626ea0f7a2f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mic.2001.114222$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=982966$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11287880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manning, Mary Lou</creatorcontrib><creatorcontrib>Archibald, Lennox K.</creatorcontrib><creatorcontrib>Bell, Louis M.</creatorcontrib><creatorcontrib>Banerjee, Shailen N.</creatorcontrib><creatorcontrib>Jarvis, William R.</creatorcontrib><title>Serratia marcescens transmission in a pediatric intensive care unit: A multifactorial occurrence</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background: Fourteen patients in the pediatric cardiac intensive care unit (CICU) had ≥1 positive culture for a single strain of Serratia marcescens from April through December 1995 (study period). Objectives: To identify risk factors for S marcescens infection or colonization in a pediatric CICU. Methods: Retrospective case-control study. Assessment of CICU infection control practices and patient exposure to CICU health care workers (HCWs). Epidemiologic-directed cultures of the environment and HCWs’ hands were obtained. Setting: Pediatric CICU. Patients: Fourteen patients in the pediatric CICU had ≥1 positive culture for a single strain of S marcescens from April through December 1995 (study period). CICU patients who did not have S marcescens infection or colonization during the study period were randomly selected as controls. Results: A case patient was more likely than a noncase patient to have exposure to a single HCW (odds ratio [OR], 19.5; 95% CI, 2.6-416; P <.003); however, this association was not adequately explained by epidemiologic or microbiologic studies. Interviews suggested that during the outbreak period, handwashing frequency among HCWs might have been reduced because of severe hand dermatitis. Conclusions: A combination of factors, including breaks in aseptic technique, reduced frequency of handwashing among HCWs before and between caring for patients, decreased attention to infection control practices, and environmental contamination may have indirectly contributed to this S marcescens infections outbreak. (AJIC Am J Infect Control 2001;29:115-9)</description><subject>Adolescent</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Cross Infection - prevention & control</subject><subject>Cross Infection - transmission</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Disease Outbreaks - statistics & numerical data</subject><subject>Female</subject><subject>Hand Disinfection - methods</subject><subject>Hand Disinfection - standards</subject><subject>Hospitals, Pediatric</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infection Control - methods</subject><subject>Infection Control - standards</subject><subject>Infectious diseases</subject><subject>Intensive Care Units, Pediatric</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nursing Staff, Hospital - education</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Odds Ratio</subject><subject>Philadelphia - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Seasons</subject><subject>Serratia Infections - epidemiology</subject><subject>Serratia Infections - microbiology</subject><subject>Serratia Infections - prevention & control</subject><subject>Serratia Infections - transmission</subject><subject>Serratia marcescens</subject><subject>Surveys and Questionnaires</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LXDEUhkOp6Dh13V0JFNzdMcnNzUd3IlYFwYXtOs2cewIp92NMcgX_vRlmsKtucgg855y8Twj5ytmGM6WvxggbwRjfcC6FEJ_IindCN62w6jNZMW5Vo7quPSPnOf9ljNlWdafkjHNhtDFsRf48Y0q-RE9HnwAz4JRpSX7KY8w5zhONE_V0h330JUWo11KR-IoUfEK6TLH8oNd0XIYSg4cyp-gHOgMsKeEE-IWcBD9kvDjWNfn98_bXzX3z-HT3cHP92IBsdWkk6q6VUoK0sg88bAV6pbbbtgs1ngiBmV6CMca2xlpdDyOVUOhZ0F4E267J5WHuLs0vC-biagDAYfATzkt2WjOhbF2yJlcHENKcc8LgdinW8G-OM7eXWhvB7aW6g9Ta8e04etmO2P_jjxYr8P0I-Ax-CFUfxPzBWVO_Q1XKHiisGl4jJpch7hX1MSEU18_xv094B58akuA</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Manning, Mary Lou</creator><creator>Archibald, Lennox K.</creator><creator>Bell, Louis M.</creator><creator>Banerjee, Shailen N.</creator><creator>Jarvis, William R.</creator><general>Mosby, Inc</general><general>Mosby</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010401</creationdate><title>Serratia marcescens transmission in a pediatric intensive care unit: A multifactorial occurrence</title><author>Manning, Mary Lou ; Archibald, Lennox K. ; Bell, Louis M. ; Banerjee, Shailen N. ; Jarvis, William R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-4e753444c494df1fb2ea66bb35f0012ff08d4c88893899738984626ea0f7a2f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Cross Infection - prevention & control</topic><topic>Cross Infection - transmission</topic><topic>Disease Outbreaks - prevention & control</topic><topic>Disease Outbreaks - statistics & numerical data</topic><topic>Female</topic><topic>Hand Disinfection - methods</topic><topic>Hand Disinfection - standards</topic><topic>Hospitals, Pediatric</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infection Control - methods</topic><topic>Infection Control - standards</topic><topic>Infectious diseases</topic><topic>Intensive Care Units, Pediatric</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Nursing Staff, Hospital - education</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Odds Ratio</topic><topic>Philadelphia - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Seasons</topic><topic>Serratia Infections - epidemiology</topic><topic>Serratia Infections - microbiology</topic><topic>Serratia Infections - prevention & control</topic><topic>Serratia Infections - transmission</topic><topic>Serratia marcescens</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manning, Mary Lou</creatorcontrib><creatorcontrib>Archibald, Lennox K.</creatorcontrib><creatorcontrib>Bell, Louis M.</creatorcontrib><creatorcontrib>Banerjee, Shailen N.</creatorcontrib><creatorcontrib>Jarvis, William R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manning, Mary Lou</au><au>Archibald, Lennox K.</au><au>Bell, Louis M.</au><au>Banerjee, Shailen N.</au><au>Jarvis, William R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serratia marcescens transmission in a pediatric intensive care unit: A multifactorial occurrence</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>29</volume><issue>2</issue><spage>115</spage><epage>119</epage><pages>115-119</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background: Fourteen patients in the pediatric cardiac intensive care unit (CICU) had ≥1 positive culture for a single strain of Serratia marcescens from April through December 1995 (study period). Objectives: To identify risk factors for S marcescens infection or colonization in a pediatric CICU. Methods: Retrospective case-control study. Assessment of CICU infection control practices and patient exposure to CICU health care workers (HCWs). Epidemiologic-directed cultures of the environment and HCWs’ hands were obtained. Setting: Pediatric CICU. Patients: Fourteen patients in the pediatric CICU had ≥1 positive culture for a single strain of S marcescens from April through December 1995 (study period). CICU patients who did not have S marcescens infection or colonization during the study period were randomly selected as controls. Results: A case patient was more likely than a noncase patient to have exposure to a single HCW (odds ratio [OR], 19.5; 95% CI, 2.6-416; P <.003); however, this association was not adequately explained by epidemiologic or microbiologic studies. Interviews suggested that during the outbreak period, handwashing frequency among HCWs might have been reduced because of severe hand dermatitis. Conclusions: A combination of factors, including breaks in aseptic technique, reduced frequency of handwashing among HCWs before and between caring for patients, decreased attention to infection control practices, and environmental contamination may have indirectly contributed to this S marcescens infections outbreak. (AJIC Am J Infect Control 2001;29:115-9)</abstract><cop>St. Louis, MO</cop><pub>Mosby, Inc</pub><pmid>11287880</pmid><doi>10.1067/mic.2001.114222</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0196-6553 |
| ispartof | American journal of infection control, 2001-04, Vol.29 (2), p.115-119 |
| issn | 0196-6553 1527-3296 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77026975 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Bacterial diseases Biological and medical sciences Child Child, Preschool Cross Infection - epidemiology Cross Infection - microbiology Cross Infection - prevention & control Cross Infection - transmission Disease Outbreaks - prevention & control Disease Outbreaks - statistics & numerical data Female Hand Disinfection - methods Hand Disinfection - standards Hospitals, Pediatric Human bacterial diseases Humans Infant Infant, Newborn Infection Control - methods Infection Control - standards Infectious diseases Intensive Care Units, Pediatric Male Medical sciences Miscellaneous Nursing Staff, Hospital - education Nursing Staff, Hospital - psychology Odds Ratio Philadelphia - epidemiology Retrospective Studies Risk Factors Seasons Serratia Infections - epidemiology Serratia Infections - microbiology Serratia Infections - prevention & control Serratia Infections - transmission Serratia marcescens Surveys and Questionnaires |
| title | Serratia marcescens transmission in a pediatric intensive care unit: A multifactorial occurrence |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T12%3A39%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Serratia%20marcescens%20transmission%20in%20a%20pediatric%20intensive%20care%20unit:%20A%20multifactorial%20occurrence&rft.jtitle=American%20journal%20of%20infection%20control&rft.au=Manning,%20Mary%20Lou&rft.date=2001-04-01&rft.volume=29&rft.issue=2&rft.spage=115&rft.epage=119&rft.pages=115-119&rft.issn=0196-6553&rft.eissn=1527-3296&rft_id=info:doi/10.1067/mic.2001.114222&rft_dat=%3Cproquest_cross%3E77026975%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77026975&rft_id=info:pmid/11287880&rft_els_id=S0196655301741788&rfr_iscdi=true |