title: Pseudomonas aeruginosa outbreak in a pediatric oncology care unit caused by an errant water jet into contaminated siphons.
abstract: We analyzed an outbreak of invasive infections with an exotoxin U positive Pseudomonas aeruginosa strain within a pediatric oncology care unit. Environmental sampling and molecular characterization of the Pseudomonas aeruginosa strains led to identification of the outbreak source. An errant water jet into the sink within patient rooms was observed. Optimized outbreak management resulted in an abundance of further Pseudomonas aeruginosa infections within the pediatric oncology care unit.
authors.affiliation: Pediatric Infectious Diseases, University Children's Hospital Mannheim, Heidelberg University, Mannheim, Germany. henriette.schneider@medma.uni-heidelberg.de
authors.forename: Henriette
authors.initials: H
authors.lastname: Schneider
authors.forename: Gernot
authors.initials: G
authors.lastname: Geginat
authors.forename: Michael
authors.initials: M
authors.lastname: Hogardt
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kramer
authors.forename: Matthias
authors.initials: M
authors.lastname: Dürken
authors.forename: Horst
authors.initials: H
authors.lastname: Schroten
authors.forename: Tobias
authors.initials: T
authors.lastname: Tenenbaum
mesh_terms: D000293:Adolescent; D001427:Bacterial Toxins / Q000378:metabolism; D002675:Child, Preschool; D016000:Cluster Analysis; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks; D060766:Drinking Water / Q000382:microbiology*; D005260:Female; D005838:Genotype; D006776:Hospitals, Pediatric; D006801:Humans; D058889:Molecular Typing; D009369:Neoplasms / Q000150:complications*; D011552:Pseudomonas Infections / Q000453:epidemiology* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D019105:Random Amplified Polymorphic DNA Technique; D012189:Retrospective Studies
chemical_list: D001427:Bacterial Toxins; D060766:Drinking Water