| Containment of a multiresistant Serratia marcescens outbreak. | |
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MedLine Citation:
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PMID: 9115604 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 3-year-old male from Bolivia who sustained a full-thickness 80 per cent TBSA burn complicated by smoke inhalation on the 28 March 1995 was admitted to our burn centre on 6 April 1995. On 11 April the patient's wounds were colonized with a Serratia marcescens sensitive only to ciprofloxacin and imipenem. Sputum cultures revealed the same phenotypic S. marcescens. Two patients who were admitted days later had the same phenotypic S. marcescens. Their TBSA burns ranged from 54 to 80 per cent. Both were injured in early April. Sputum and wound cultures were also positive for S. marcescens. Precautionary measures were instituted immediately. All potential reservoirs were cultured. Cultures were negative for S. marcescens. Patient therapy was maintained via strict isolation. The first patient died on 17 May. The two remaining patients survived and were discharged colonized with S. marcescens. However, the biotype of the initial S. marcescens was different from the latter two. Early recognition of a multiresistant S. marcescens resulted in negating the spread of this agent to other patients. |
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Authors:
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P Edgar; R Mlcak; M Desai; H A Linares; L G Phillips; J P Heggers |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Burns : journal of the International Society for Burn Injuries Volume: 23 ISSN: 0305-4179 ISO Abbreviation: Burns Publication Date: 1997 Feb |
Date Detail:
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Created Date: 1997-04-22 Completed Date: 1997-04-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8913178 Medline TA: Burns Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 15-8 Citation Subset: IM |
Affiliation:
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Shriners Burns Institute, Galveston, Texas, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anti-Bacterial Agents / pharmacology Burn Units Burns / complications, epidemiology* Child Child, Preschool Cross Infection / complications, epidemiology, prevention & control Disease Outbreaks / prevention & control* Drug Resistance, Multiple* Female Humans Male Microbial Sensitivity Tests Serratia Infections / complications, epidemiology*, prevention & control Serratia marcescens / drug effects, isolation & purification* Survival Rate Texas |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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