Serratia marcescens nosocomial outbreak due to contamination of hexetidine solution

被引:38
作者
Bosi, C
DavinRegli, A
Charrel, R
Rocca, B
Monnet, D
Bollet, C
机构
[1] HYG & EPIDEMIOL HOSP,BACTERIOL LAB,MARSEILLE,FRANCE
[2] HOP SUD,SERV NEUROCHIRURG,MARSEILLE,FRANCE
[3] CTR HOSP LYON SUD,CTR COORDINAT LUTTE INFECT NOSOCOMIALES SUD EST,LYON,FRANCE
关键词
Serratia marcescens; RAPD typing; hexetidine disinfectant antiseptic; epidemiological marker; nosocomial infection;
D O I
10.1016/S0195-6701(96)90005-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
During a 10-week period, 16 patients in a neurosurgery intensive care unit were involved in an outbreak of Serratia marcescens. The epidemic strain was found in several flasks of 1:4 diluted hexetidine solution, an antiseptic used for patient mouth washing. Testing of the bactericidal activity of the diluted antiseptic revealed that all the epidemic strains were able to grow in the diluted antiseptic solution. Strains isolated from clinical samples and from the antiseptic solution were compared by random amplification of polymorphic DNA. Epidemiologic typing data implicated the diluted antiseptic solution as the single source of this S. marcescens outbreak.
引用
收藏
页码:217 / 224
页数:8
相关论文
共 19 条
[1]   SERRATIA-MARCESCENS CONTAMINATION OF ANTISEPTIC SOAP CONTAINING TRICLOSAN - IMPLICATIONS FOR NOSOCOMIAL INFECTION [J].
BARRY, MA ;
CRAVEN, DE ;
GOULARTE, TA ;
LICHTENBERG, DA .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1984, 5 (09) :427-430
[2]   BUDVICIA-AQUATICA GEN-NOV, SP-NOV - A HYDROGEN SULFIDE-PRODUCING MEMBER OF THE ENTEROBACTERIACEAE [J].
BOUVET, OMM ;
GRIMONT, PAD ;
RICHARD, C ;
ALDOVA, E ;
HAUSNER, O ;
GABRHELOVA, M .
INTERNATIONAL JOURNAL OF SYSTEMATIC BACTERIOLOGY, 1985, 35 (01) :60-64
[3]   VARIATIONS IN DNA CONCENTRATIONS SIGNIFICANTLY AFFECT THE REPRODUCIBILITY OF RAPD FINGERPRINT PATTERNS [J].
DAVINREGLI, A ;
ABED, Y ;
CHARREL, RN ;
BOLLET, C ;
DEMICCO, P .
RESEARCH IN MICROBIOLOGY, 1995, 146 (07) :561-568
[4]   A ONE-STEP MICROBIAL DNA EXTRACTION METHOD USING CHELEX-100 SUITABLE FOR GENE AMPLIFICATION [J].
DELAMBALLERIE, X ;
ZANDOTTI, C ;
VIGNOLI, C ;
BOLLET, C ;
DEMICCO, P .
RESEARCH IN MICROBIOLOGY, 1992, 143 (08) :785-790
[5]  
EHRENKRANZ NJ, 1980, LANCET, V2, P1289
[6]   RIBOSOMAL RIBONUCLEIC-ACID GENE RESTRICTION PATTERNS AS POTENTIAL TAXONOMIC TOOLS [J].
GRIMONT, F ;
GRIMONT, PAD .
ANNALES DE L INSTITUT PASTEUR-MICROBIOLOGIE, 1986, 137B (02) :165-175
[7]  
GRIMONT PAD, 1978, J CLIN MICROBIOL, V8, P73
[8]   USE OF PCR TO STUDY EPIDEMIOLOGY OF SERRATIA-MARCESCENS ISOLATES IN NOSOCOMIAL INFECTION [J].
LIU, PYF ;
LAU, YJ ;
HU, BS ;
SHIR, JM ;
CHEUNG, MH ;
SHI, ZY ;
TSAI, WS .
JOURNAL OF CLINICAL MICROBIOLOGY, 1994, 32 (08) :1935-1938
[9]   PROLONGED SURVIVAL OF SERRATIA-MARCESCENS IN CHLORHEXIDINE [J].
MARRIE, TJ ;
COSTERTON, JW .
APPLIED AND ENVIRONMENTAL MICROBIOLOGY, 1981, 42 (06) :1093-1102
[10]   SURVIVAL OF SERRATIA-MARCESCENS IN BENZALKONIUM CHLORIDE AND IN MULTIPLE-DOSE MEDICATION VIALS - RELATIONSHIP TO EPIDEMIC SEPTIC ARTHRITIS [J].
NAKASHIMA, AK ;
HIGHSMITH, AK ;
MARTONE, WJ .
JOURNAL OF CLINICAL MICROBIOLOGY, 1987, 25 (06) :1019-1021