title: Outbreak of Stenotrophomonas maltophilia bacteremia among patients undergoing bone marrow transplantation: association with faulty replacement of handwashing soap.
abstract: Using molecular typing methods, we confirmed an outbreak of Stenotrophomonas maltophilia among bone marrow transplant patients. The likely source was a healthcare worker who may have washed with moisturizer instead of soap between patients. Hospital epidemiologists need to go beyond antibiograms when evaluating outbreaks and be vigilant about all aspects of hand washing.
authors.affiliation: Department of Medicine, University of Washington, Seattle, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Klausner
authors.forename: C
authors.initials: C
authors.lastname: Zukerman
authors.forename: A P
authors.initials: AP
authors.lastname: Limaye
authors.forename: L
authors.initials: L
authors.lastname: Corey
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016026:Bone Marrow Transplantation; D016022:Case-Control Studies; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D004196:Disease Outbreaks; D018562:Disease Transmission, Infectious / Q000517:prevention & control; D016905:Gram-Negative Bacterial Infections / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D006235:Hand Disinfection; D006801:Humans; D012915:Soaps; D020615:Stenotrophomonas maltophilia / Q000187:drug effects / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents; D012915:Soaps