| 000 | 02822cam a2200277 4500 | ||
|---|---|---|---|
| 001 | NMDX5915 | ||
| 008 | 120401t2013 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a01956701 | ||
| 100 | _aHosein, IK. | ||
| 240 | _aThe journal of hospital infection | ||
| 245 | _aSummertime Bacillus cereus colonization of hospital newborns traced to contaminated, laundered linen. | ||
| 260 | _c2013 | ||
| 500 | _aNMUH Staff Publications | ||
| 500 | _a85 | ||
| 520 | _a<h4>BACKGROUND: </h4><p>Routine screening of premature newborns for haemolytic streptococci, Staphylococcus aureus and enteric Gram-negative bacteria done at birth using umbilical swabs identified clustering of babies colonized with Bacillus cereus in summers of 2009 and 2010 at a 400-bedded UK general hospital.</p><h4>AIM: </h4><p>To determine the source of this organism by focusing on the clinical environment.</p><h4>METHODS: </h4><p>Umbilical swab screening was extended to all newborns and the labour ward environment, including construction-related dust, was sampled for B.&nbsp;cereus.</p><h4>FINDINGS: </h4><p>During the summer of 2009, 65% of newborns had umbilical swabs which were culture positive for B.&nbsp;cereus. Blood agar and B.&nbsp;cereus selective agar impression plates of unused labour ward linen, and freshly received linen from the hospital's external laundry, gave mainly confluent growth of B.&nbsp;cereus in &gt;85% of items sampled. In-use and exposed healthcare products including liquid handwashing agents, paper hand-towels, vaginal lubricants, labour ward dust and air were culture negative. Linen contamination and umbilical swab culture positivity both approached zero in autumn. B.&nbsp;cereus colonization of newborn umbilici recurred in summer 2010 and unused laundered linen was again found to be as contaminated. Washing linen at the laundry in a washer-extractor, with higher dilution than the continuous tunnel washer normally used, coincided with lowering of detectable B.&nbsp;cereus numbers in unused washed linen and no clustering in newborns the following summer (2011).</p><h4>CONCLUSION: </h4><p>Freshly laundered linen can be contaminated with B.&nbsp;cereus with subsequent spread and colonization of newborns. This contamination appears to be associated with low-dilution washing and high ambient temperatures.</p> | ||
| 700 | _aHoffman, PN. | ||
| 700 | _aEllam, S. | ||
| 700 | _aAsseez, TM. | ||
| 700 | _aFakokunde, A. | ||
| 700 | _aSilles, J. | ||
| 700 | _aDevereux, E. | ||
| 700 | _aKaur, D. | ||
| 700 | _aBosanquet, J. | ||
| 856 | _uhttp://www.ncbi.nlm.nih.gov/pubmed/23927924?dopt=Abstract | ||
| 856 | _uhttp://ferriman.wufoo.com/forms/r7x3a7/ | ||
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