抄録
Stenotrophomonas maltophilia is an important pathogen in immunocompromised patients, such as patients with malignancies, long-term hospitalized patients, or patients receiving broad-spectrum antibiotic therapy. We confirmed an outbreak of S. maltophilia in allogenic bone marrow transplant patients in June 2007. To identify the source of the pathogens, environmental cultures were obtained from the transplantation unit. S. maltophilia strains were isolated from a bath chair, a shower head, and an automatic hot towel dispenser. Outbreak-related strains from 4 patients and 4 strains from the environment were compared by pulsed-field gel electrophoresis (PFGE). Two strains from blood cultures and one strain from the dispenser were identical, as confirmed by PFGE, which showed that the outbreak was associated with the automatic hot towel dispenser. Subsequently, many types of non-fermentative Gram-negative organisms were isolated from all automatic hot towel dispensers placed in other wards. These results indicate that medical equipment containing water requires careful attention to maintain sterility in use.
| 元の言語 | 英語 |
|---|---|
| ページ（範囲） | 381-387 |
| ページ数 | 7 |
| ジャーナル | Japanese Journal of Environmental Infections |
| 巻 | 24 |
| 発行部数 | 6 |
| DOI | |
| 出版物ステータス | 出版済み - 1 1 2009 |
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All Science Journal Classification (ASJC) codes
- Epidemiology
これを引用
Outbreak of Stenotrophomonas maltophilia in a Bone Marrow Transplantation Unit : Association with Automatic Hot Towel Dispenser. / Miyake, Noriko; Shimono, Nobuyuki; Maehara, Yoriko; Gondo, Tae; Nagasaki, Yoji; Uchida, Yujiro; Masayuki, Murata; Hayashi, Jun.
：: Japanese Journal of Environmental Infections, 巻 24, 番号 6, 01.01.2009, p. 381-387.研究成果: ジャーナルへの寄稿 › 記事
}
TY - JOUR
T1 - Outbreak of Stenotrophomonas maltophilia in a Bone Marrow Transplantation Unit
T2 - Association with Automatic Hot Towel Dispenser
AU - Miyake, Noriko
AU - Shimono, Nobuyuki
AU - Maehara, Yoriko
AU - Gondo, Tae
AU - Nagasaki, Yoji
AU - Uchida, Yujiro
AU - Masayuki, Murata
AU - Hayashi, Jun
PY - 2009/1/1
Y1 - 2009/1/1
N2 - Stenotrophomonas maltophilia is an important pathogen in immunocompromised patients, such as patients with malignancies, long-term hospitalized patients, or patients receiving broad-spectrum antibiotic therapy. We confirmed an outbreak of S. maltophilia in allogenic bone marrow transplant patients in June 2007. To identify the source of the pathogens, environmental cultures were obtained from the transplantation unit. S. maltophilia strains were isolated from a bath chair, a shower head, and an automatic hot towel dispenser. Outbreak-related strains from 4 patients and 4 strains from the environment were compared by pulsed-field gel electrophoresis (PFGE). Two strains from blood cultures and one strain from the dispenser were identical, as confirmed by PFGE, which showed that the outbreak was associated with the automatic hot towel dispenser. Subsequently, many types of non-fermentative Gram-negative organisms were isolated from all automatic hot towel dispensers placed in other wards. These results indicate that medical equipment containing water requires careful attention to maintain sterility in use.
AB - Stenotrophomonas maltophilia is an important pathogen in immunocompromised patients, such as patients with malignancies, long-term hospitalized patients, or patients receiving broad-spectrum antibiotic therapy. We confirmed an outbreak of S. maltophilia in allogenic bone marrow transplant patients in June 2007. To identify the source of the pathogens, environmental cultures were obtained from the transplantation unit. S. maltophilia strains were isolated from a bath chair, a shower head, and an automatic hot towel dispenser. Outbreak-related strains from 4 patients and 4 strains from the environment were compared by pulsed-field gel electrophoresis (PFGE). Two strains from blood cultures and one strain from the dispenser were identical, as confirmed by PFGE, which showed that the outbreak was associated with the automatic hot towel dispenser. Subsequently, many types of non-fermentative Gram-negative organisms were isolated from all automatic hot towel dispensers placed in other wards. These results indicate that medical equipment containing water requires careful attention to maintain sterility in use.
UR - http://www.scopus.com/inward/record.url?scp=85024724449&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85024724449&partnerID=8YFLogxK
U2 - 10.4058/jsei.24.381
DO - 10.4058/jsei.24.381
M3 - Article
AN - SCOPUS:85024724449
VL - 24
SP - 381
EP - 387
JO - Japanese Journal of Environmental Infections
JF - Japanese Journal of Environmental Infections
SN - 1882-532X
IS - 6
ER -