title: Outbreak of carbapenemase-producing Klebsiella pneumoniae neurosurgical site infections associated with a contaminated shaving razor used for preoperative scalp shaving.
abstract: Between July 5 and 21, 2011, an outbreak of neurosurgical site infections with carbapenemase-producing Klebsiella pneumonia occurred in a tertiary care hospital. The outbreak affected 7 patients. The subsequent investigation revealed that a barber's contaminated shaving razor may have caused the carbapenemase-producing Klebsiella pneumonia outbreak. Standardized skin preparation performed by registered nurses using sterilized instruments should be emphasized.
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Dai
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Chengfang
authors.initials: C
authors.lastname: Zhang
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China. Electronic address: xiaolingma@126.com.
authors.forename: Xiaoling
authors.initials: X
authors.lastname: Ma
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Wenjiao
authors.initials: W
authors.lastname: Chang
authors.affiliation: Anhui Provincial Center for Disease Control and Prevention, Hefei, Anhui Province, China.
authors.forename: Shoukui
authors.initials: S
authors.lastname: Hu
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Hengmin
authors.initials: H
authors.lastname: Jia
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Jiaxiang
authors.initials: J
authors.lastname: Huang
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Huaiwei
authors.initials: H
authors.lastname: Lu
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Li
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Shusheng
authors.initials: S
authors.lastname: Zhou
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Guangkuo
authors.initials: G
authors.lastname: Qiu
authors.affiliation: Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Jiaqin
authors.initials: J
authors.lastname: Liu
mesh_terms: D000328:Adult; D000368:Aged; D001426:Bacterial Proteins / Q000378:metabolism*; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D004864:Equipment and Supplies / Q000382:microbiology*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000453:epidemiology* / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000201:enzymology* / Q000302:isolation & purification; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D011300:Preoperative Care / Q000379:methods; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000382:microbiology; D062606:Tertiary Care Centers; D055815:Young Adult; D001618:beta-Lactamases / Q000378:metabolism*
chemical_list: D001426:Bacterial Proteins; D001618:beta-Lactamases; C063912:carbapenemase
keywords: Nosocomial transmission; Outbreak investigation; Surgical site infections