An outbreak of Salmonella urbana infection in neonatal nurseries.
An outbreak of neonatal infection with Salmonella urbana in three neonatal wards of a teaching hospital in Bangkok, Thailand is described. The outbreak lasted for 5 days. Fifty-seven neonates had gastrointestinal infection, 37 had diarrhoea, and three had bacteraemia. The attack rates were 43% for infection, 29% for diarrhoea, and 2.3% for bacteraemia. Epidemiological evaluation suggested that a contaminated wash basin in the labour nursery was the source of infection. Delay in controlling this outbreak occurred because the staff assumed that person-to-person transmission was the mode of spread, thus ignoring epidemiological data that would have led to the identification of the source of infection.
Department of Paediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
S
S
Sirinavin
S
S
Hotrakitya
C
C
Suprasongsin
B
B
Wannaying
S
S
Pakeecheep
M
M
Vorachit
D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D004196:Disease Outbreaks; D005767:Gastrointestinal Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D006784:Hospitals, Teaching / Q000592:standards; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D009725:Nurseries, Hospital / Q000592:standards*; D012480:Salmonella Infections / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D012498:Sanitary Engineering / Q000592:standards; D018805:Sepsis / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D013785:Thailand / Q000453:epidemiology