Document Detail

Nosocomial infection with Rhizopus microsporus in preterm infants: association with wooden tongue depressors.
MedLine Citation:
PMID:  8709784     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We report four cases of cutaneous infection with Rhizopus microsporus in vulnerable preterm infants in one neonatal nursery. METHODS: There was no overlap in hospital stay between the first two cases and an extensive programme of environmental sampling was therefore initiated, with special attention being paid to items that had close contact with infants' skin. Samples were cultured by standard techniques, including fungal culture with Sabouraud's medium. Filamentous fungi with non-septate hyphae were presumptively identified as agents of mucormycosis and referred to the Mycology Reference Laboratory, Bristol, UK, for speciation. FINDINGS: The source of infection was identified as wooden tongue depressors, which were used on the nursery to construct splints for intravenous and arterial cannulation sites. The outbreak was ended by the removal of these items from the nursery. INTERPRETATION: Wooden tongue depressors can be a vehicle for transmission of mucormycosis. The combination of warm, humid conditions in neonatal incubators, particularly in association with occlusive dressings, may favour cutaneous fungal invasion and put small, sick babies at risk of infection.
S J Mitchell; J Gray; M E Morgan; M D Hocking; G M Durbin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Lancet     Volume:  348     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-09-10     Completed Date:  1996-09-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  441-3     Citation Subset:  AIM; IM    
Neonatal Unit, Birmingham Women's Hospital, Edgbaston, UK.
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MeSH Terms
Cross Infection / etiology*
Equipment Contamination*
Equipment and Supplies, Hospital
Gestational Age
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / etiology*,  mortality
Mucormycosis / etiology*,  mortality
Nurseries, Hospital
Rhizopus / isolation & purification*,  pathogenicity
Comment In:
Lancet. 1996 Nov 2;348(9036):1250   [PMID:  8898069 ]
Lancet. 1996 Sep 28;348(9031):889   [PMID:  8826823 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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