| Outbreak of Mycobacterium mucogenicum bacteraemia due to contaminated water supply in a paediatric haematology-oncology department. | |
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MedLine Citation:
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PMID: 18799238 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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G Livni; I Yaniv; Z Samra; L Kaufman; E Solter; S Ashkenazi; I Levy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of hospital infection Volume: 70 ISSN: 0195-6701 ISO Abbreviation: J. Hosp. Infect. Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2009-01-30 Completed Date: 2009-03-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007166 Medline TA: J Hosp Infect Country: England |
Other Details:
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Languages: eng Pagination: 253-8 Citation Subset: IM |
Affiliation:
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Unit of Pediatric Infectious Diseases, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. lgilat@clalit.org.il |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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7782-50-5/Chlorine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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