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Outbreak of Stenotrophomonas maltophilia Bacteremia Among Patients Undergoing Bone Marrow Transplantation: Association With Faulty Replacement of Handwashing Soap

Published online by Cambridge University Press:  02 January 2015

Jeffrey D. Klausner ,
Carol Zukerman ,
Ajit P. Limaye  and
Lawrence Corey
Jeffrey D. Klausner*
Affiliation:
Departments of Medicine and Laboratory Medicine, University of Washington, Swedish Medical Center, Seattle, Washington
Carol Zukerman
Affiliation:
Department of Epidemiology, Swedish Medical Center, Seattle, Washington
Ajit P. Limaye
Affiliation:
Departments of Medicine and Laboratory Medicine, University of Washington, Swedish Medical Center, Seattle, Washington
Lawrence Corey
Affiliation:
Departments of Medicine and Laboratory Medicine, University of Washington, Swedish Medical Center, Seattle, Washington
*
STD Control and Prevention Services, San Francisco Department of Public Health, 1360 Mission Ave, Suite 401, San Francisco, CA 94103
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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.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 11 , November 1999 , pp. 756 - 758
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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References

1. Khardori, N, Elting, L, Wong, E, Schable, B, Bodey, GP. Nosocomial infections due to Xanthomonas maltophilia (Pseudomonas maltophilia) in patients with cancer. Rev Infect Dis 1990;12:997–1003.Google Scholar
2. Laing, FP, Ramotar, K, Read, RR, Alfieri, N, Kureishi, A, Henderson, EA, et al. Molecular epidemiology of Xanthomonas maltophilia colonization and infection in the hospital environment. J Clin Microbiol 1995;33:513–518.Google Scholar
3. Muder, RR, Harris, AP, Muller, S, Edmond, M, Chow, JW, Papadakis, K, et al. Bacteremia due to Stenotrophomonas (Xanthomonas) maltophilia: a prospective, multicenter study of 91 episodes. Clin Infect Dis 1996;22:508–512.CrossRefGoogle ScholarPubMed
4. Orr, K, Gould, FK, Sisson, PR, Lightfoot, NF, Freeman, R, Burdess, D. Rapid inter-strain comparison by pyrolysis mass spectrometry in nosocomial infection with Xanthomonas maltophilia . J Hosp Infect 1991;17:187–195.Google Scholar
5. Villarino, ME, Stevens, LE, Schable, B, Mayers, G, Miller, JM, Burke, JP, et al. Risk factors for epidemic Xanthomonas maltophilia infection/colonization in intensive care unit patients. Infect Control Hosp Epidemiol 1992;13:201–206.Google Scholar
6. Bingen, EH, Denamur, E, Lambert-Zechovsky, NY, Bourdois, A, Mariani-Kurkdjian, P, Cezard, JP, et al. DNA restriction fragment length polymorphism differentiates crossed from independent infections in nosocomial Xanthomonas maltophilia bacteremia. J Clin Microbiol 1991;29:1348–1350.Google Scholar
7. Schable, B, Villarino, ME, Favero, MS, Miller, JM. Application of multilocus enzyme electrophoresis to epidemiologic investigations of Xanthomonas maltophilia . Infect Control Hosp Epidemiol 1991;12:163–167.Google Scholar
8. Marty, N. Epidemiological typing of Stenotrophomonas maltophilia . J Hosp Infect 1997;36:261–266.CrossRefGoogle ScholarPubMed
9. Fisher, MC, Long, SS, Roberts, EM, Dunn, JM, Balsara, R. Pseudomonas maltophilia bacteremia in children undergoing open heart surgery. JAMA 1981;246:1571–1574.Google Scholar
10. Larson, EL. Persistent carriage of gram-negative bacteria on hands. Am J Infect Control 1981;9:112–119.CrossRefGoogle ScholarPubMed