Enterobacter species in a pediatric hospital: horizontal transfer or selection in individual patients?
Enterobacter species were studied longitudinally in a children's hospital. In total, 287 Enterobacter isolates were obtained from 171 children in 15 different wards (from March 1995 through April 1997). Strains were typed by random amplified polymorphic DNA and pulsed-field gel electrophoresis, whic...
| Publicado en: | Journal of Infectious Diseases Vol. 184; no. 2; pp. 211 - 215 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
7/15/2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107075513&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107075513 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00221899 1YU jtl: Journal of Infectious Diseases issn: 00221899 maglogo: N pubinfo: dt: 7/15/2001 vid: 184 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 107075513 2001112811 10.1086/322014 NLM11424021 107075513 ppf: 211 ppct: 4 formats: tig: atl: Enterobacter species in a pediatric hospital: horizontal transfer or selection in individual patients? aug: au: de Man P van der Veeke E Leemreijze M van Leeuwen W Vos G van den Aker J Verbrugh H van Belkum A affil: Depts of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands sug: subj: Enterobacteriaceae Infections Transmission Cross Infection Transmission Disease Transmission, Horizontal Cross Infection Epidemiology Enterobacteriaceae Infections Epidemiology Hospitals, Pediatric Netherlands Human ab: Enterobacter species were studied longitudinally in a children's hospital. In total, 287 Enterobacter isolates were obtained from 171 children in 15 different wards (from March 1995 through April 1997). Strains were typed by random amplified polymorphic DNA and pulsed-field gel electrophoresis, which were concordant in outcome. In total, 97 DNA types and 199 colonization events were identified. A predominant clone was isolated 111 times from 62 children; another clone was isolated 19 times from 10 patients. These clones caused 36% of all colonizations. In 34% of the children, Enterobacter clones were found in 2-4 patients. The remaining colonizations were due to unique Enterobacter isolates. A large proportion of the Enterobacter strains was acquired through cross-transmission. This finding contrasts with the prevailing opinion that resistant Enterobacter strains are selected primarily from the patient's own gut flora. © 2001 Infectious Diseases Society of America pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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