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Clin Microbiol Infect. 2018 Dec 26. pii: S1198-743X(18)30781-X. doi: 10.1016/j.cmi.2018.11.028. [Epub ahead of print]

Nosocomial outbreak of Streptococcus pyogenes puerperal sepsis.

Author information

1
Institute for Medical Microbiology and Hygiene, Austrian Agency for Health and Food Safety, Vienna, Austria; European Public Health Microbiology training programme (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden. Electronic address: adriana.cabal-rosel@ages.at.
2
Institute for Medical Microbiology and Hygiene, Austrian Agency for Health and Food Safety, Vienna, Austria.
3
Medizinisch-chemisches Labor Medilab, Clinical microbiology and hygiene- dep., Teaching Lab of the Paracelsus Medical University, Salzburg, Austria.

Abstract

In July 2018 four female patients hospitalized in the same maternal ward were diagnosed with puerperal sepsis caused by Steptococcus pyogenes.All were assisted by the same midwife in their deliveries. For active case finding diverse specimens were taken from the patients and the staff. By using a new core genome Multilocus Sequence Typing scheme, we confirmed here the transmission of a GAS strain by the only midwife involved in all deliveries that suffered from a panaritium. Still, proper hand hygiene before, during and after delivery assistance is of utmost importance.

KEYWORDS:

Core genome Multi Locus Sequence Typing; Delivery; Midwife; Nosocomial outbreak; Puerperal sepsis; Streptococcus pyogenes

PMID:
30593861
DOI:
10.1016/j.cmi.2018.11.028

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