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Shigellosis Occurring in Newborn Nursery Staff

Published online by Cambridge University Press:  21 June 2016

Lorraine M. Beers
Affiliation:
Infection Control Cooperative, Traverse City, Michigan
Timothy L. Burke*
Affiliation:
Infection Control Cooperative, Traverse City, Michigan
David B. Martin
Affiliation:
Infection Control Cooperative, Traverse City, Michigan
*
201 S. Madison, Traverse City, MI 49684

Abstract

Shigellosis is uncommon in the newborn nursery. We describe a case of Shigella sonnei gastroenteritis occurring in a newborn. Three of 32 health care providers caring for the infant acquired shigellosis. The neonate probably acquired the infection from its mother via vertical transmission. All six members of the infant's family had gastroenteritis and two siblings had stool cultures positive for Shigella. Transmission of Shigella in the newborn nursery is potentially great. Emphasis on handwashing and glove use, aggressive case finding, notification of contacts, and a liberal “forced paid sick time” policy may halt the spread.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

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References

1. Blaser, M, Pollard, R, Feldman, R: Shigella infections in the United States. 1974-1980. J Infect Dis 1983; 147:771775.Google ScholarPubMed
2. Bachrach, S: Successful treatment of an institutional outbreak of shigellosis. Clin Pediati 1981; 20:127131.10.1177/000992288102000207CrossRefGoogle ScholarPubMed
3. Black, R, Graun, G, Blake, P: Epidemiology of connnon-source outbreaks of shigellosis in the United States. 1961-1975. Am J Epidemial 1978; 108:4752.Google ScholarPubMed
4. US Department of Health and Human Services: Multistats outbreaks of Shigella sonnei gastroenteritis-United States. MMWR 1987; 36:440449.Google Scholar
5. US Department of Health and Human Services: Shigellosis-North Carolina. MMWR 1987: 36:449450.Google Scholar
6. US Department of Health and Human Services: Nationwide dissemination of multiply resistant Shigella sonnei following a common source outbreak. MMWR 1987; 36:633634.Google Scholar
7. Pickering, L, Bartlett, A, Woodward, W: Acute infectious diarrhea among children in day care: Epidemiology and control. Rev Infect Dis 1986; 8:539547.10.1093/clinids/8.4.539CrossRefGoogle ScholarPubMed
8. US Department of Health and Human Services: Multiply resistant shigellosis in a day care center—Texas. MMWR 1986; 35:753755.Google Scholar
9. Hughes, JM, Jarvis, WR: Nosocomial gastrointestinal infections, in Wenzel, RP (ed): Prevention and Control of Nosocomial Infections. Baltimore, Williams and Wilkins. 1987, pp 413416.Google Scholar
10. Kelly, MT, Brenner, DJ, Farmer, JJ: Enterobacteriaceae, in Lennette, E, Balows, A, Hausler, WJ Jr, et al (eds): Manual of Clinical Microbiology, ed 4. Washington DC. American Society for Microbiology, 1985. p 267.Google Scholar
11. Weisman, J, Hutcheson, R: Shigellosis transmitted by nurses. South Med J 1976: 69:13411346.Google Scholar