Outbreak of staphylococcal bullous impetigo in a maternity ward linked to an asymptomatic healthcare worker

Centre de Coordination de la Lutte contre les Infections Nosocomiales du Sud-Ouest, CHU, Bordeaux cedex, France.
Journal of Hospital Infection (Impact Factor: 2.54). 11/2007; 67(3):264-70. DOI: 10.1016/j.jhin.2007.08.023
Source: PubMed


An outbreak of staphylococcal bullous impetigo occurred over a period of five months in a maternity ward involving seven infected and two colonised neonates. The skin lesions were due to epidermolytic toxin A-producing Staphylococcus aureus. Infection control measures were implemented and a retrospective case-control study performed. Contact with an auxiliary nurse was the only risk factor for cases of bullous impetigo (P<0.01). The nurse cared for all seven cases and was an asymptomatic nasal carrier of the epidemic strain. Repeated courses of decontamination treatment failed to eradicate carriage. Nine months after the last case, another neonate developed a more severe form of bullous impetigo and the auxiliary nurse was reassigned to an adult ward.

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    • "Dave et al. [6] reported 2 NO where midwifes transmitted S. aureus to 12 and 10 parturients and caused staphylococcal scalded skin syndrome (SSSS). The latest NO in obstetrics was an NO in France described by Occelli et al. [7] where an auxiliary nurse was nasal colonized with S. aureus and caused bullous impetigo in 7 neonates and colonization in 3 further neonates. Perhaps the tendency to early discharging of patients after birth may contribute to the problem of large NO in gynecology, because infections may occur only after discharge and therefore NO maybe detected later. "
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