Document Detail


Outbreak of Mycobacterium mucogenicum bacteraemia due to contaminated water supply in a paediatric haematology-oncology department.
MedLine Citation:
PMID:  18799238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe an outbreak of bloodstream infections due to Mycobacterium mucogenicum involving five patients in a paediatric haematology-oncology ward over a six-month period. Specimens from faucets on the floor indicated that an automatic faucet was the probable source of infection and identity between strains was confirmed using molecular techniques. Levels of chlorine in the water were intermittently low and may have contributed towards bacterial growth. A review of infection control practices revealed that the exit sites of central venous catheters (CVCs) of children were not properly covered during bathing, which may have facilitated CVC colonisation. Replacing the contaminated faucets, optimal water chlorination and proper coverage of the CVC exit site using impermeable dressings terminated the outbreak. This investigation emphasises the three major factors that should be investigated in outbreaks due to a waterborne pathogen: source of the infection, water supply and infection control practices.
Authors:
G Livni; I Yaniv; Z Samra; L Kaufman; E Solter; S Ashkenazi; I Levy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hospital infection     Volume:  70     ISSN:  0195-6701     ISO Abbreviation:  J. Hosp. Infect.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2009-01-30     Completed Date:  2009-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007166     Medline TA:  J Hosp Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  253-8     Citation Subset:  IM    
Affiliation:
Unit of Pediatric Infectious Diseases, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. lgilat@clalit.org.il
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bacteremia / epidemiology,  microbiology*
Catheterization, Central Venous / adverse effects*
Child
Child, Preschool
Chlorine / administration & dosage
Cross Infection / epidemiology,  microbiology*
Disease Outbreaks
Female
Genotype
Humans
Infection Control / methods
Israel / epidemiology
Male
Mycobacterium / classification,  genetics,  isolation & purification
Mycobacterium Infections / epidemiology,  microbiology*
Oncology Service, Hospital
Pediatrics
Polymerase Chain Reaction
Random Amplified Polymorphic DNA Technique
Retrospective Studies
Water Microbiology*
Chemical
Reg. No./Substance:
7782-50-5/Chlorine

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


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