Document Detail

An outbreak of Salmonella serotype Saintpaul in a children's hospital.
MedLine Citation:
PMID:  12452295     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To describe a nosocomial outbreak of Salmonella serotype Saintpaul gastroenteritis and to explore risk factors for infection. DESIGN: Case-control study. SETTING: A 208-bed, university-affiliated children's hospital. PARTICIPANTS: Patients hospitalized at Children's Hospital and Regional Medical Center, Seattle, Washington, during February 2001 who had stool specimens obtained for culture at least 24 hours after admission. Case-patients (n = 11) were patients with an indistinguishable strain of Salmonella Saintpaul cultured from their stool. Control-patients (n = 41) were patients hospitalized for problems other than gastroenteritis whose stool cultures were negative for Salmonella. METHODS: Risk factors were evaluated using the chi-square test or Fisher's exact test. Continuous variables were compared using the Mann-Whitney U test. A multivariable analysis was performed using logistic regression. The predictor of interest was the receipt of enteral feeding formula mixed by the hospital. RESULTS: Case-patients were more likely than control-patients to have received formula mixed by the hospital (OR, 4.2; 95% confidence interval, 1.04 to 17.16). Other variables evaluated were not significant predictors of Salmonella Saintpaul infection. CONCLUSIONS: Formula mixed by the hospital appears to have been the source of this Salmonella outbreak. Strict sanitation measures must be ensured in formula preparation and delivery, and bacterial pathogens should be included in the differential diagnosis for nosocomial gastroenteritis.
Rena Bornemann; Danielle M Zerr; Joan Heath; Jane Koehler; Marcus Grandjean; Ravi Pallipamu; Jeff Duchin
Related Documents :
459045 - A summary of the prevalence of parelaphostrongylus tenuis in a captive wapiti population.
15636295 - Environmental cultures and hospital-acquired legionnaires' disease: a 5-year prospectiv...
3798545 - A hospital outbreak of cholera in maputo, mozambique.
19013685 - Perceptions of hand hygiene practices in china.
8888465 - Behavior, attitudes, and expectations regarding the use of life-sustaining treatments a...
24571705 - Feasibility study for early supported discharge in adults with respiratory infection in...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America     Volume:  23     ISSN:  0899-823X     ISO Abbreviation:  Infect Control Hosp Epidemiol     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-27     Completed Date:  2003-02-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804099     Medline TA:  Infect Control Hosp Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  671-6     Citation Subset:  IM; N    
Children's Hospital and Regional Medical Center, Seattle, WA 98105, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Case-Control Studies
Child, Preschool
Cross Infection / epidemiology*,  microbiology
Disease Outbreaks*
Electrophoresis, Gel, Pulsed-Field
Hospitals, Pediatric*
Infant, Newborn
Logistic Models
Personnel, Hospital
Population Surveillance
Risk Factors
Salmonella / classification,  isolation & purification*
Salmonella Infections / epidemiology*,  microbiology
Washington / epidemiology

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

Previous Document:  An outbreak of diarrhea in a neonatal medium care unit caused by a novel strain of rotavirus: invest...
Next Document:  Epidemiology of methicillin-susceptible Staphylococcus aureus in the neonatal intensive care unit.