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Nosocomial1 infections in children's wards

Published online by Cambridge University Press:  15 May 2009

Joyce Wright
Joyce Wright
Affiliation:
Department of Bacteriology, University College Hospital Medical School, London
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1. During a period of 1 year the incidence of infection with haemolytic streptococci was determined among children on admission to, and during residence in, the children's wards of University College Hospital, London.

2. The increased incidence among those in residence, 13·1% of whom acquired haemolytic streptococci during their stay, was due principally to outbreaks of infection by these organisms. By the slide agglutination method the majority of strains could be assigned to one or other of Griffith's thirty types and the presumed path of their spread studied.

3. The source of the infection in most of the outbreaks was not ascertain-able from the data collected, but in general it did not appear to be in the patients themselves.

4. With a few exceptions, isolation by cubicles was an effective measure in preventing the spread of haemolytic streptococci.

5. In general the haemolytic streptococci seemed to spread from patient to patient, though the exact mode of spread was not ascertained.

6. The clinical manifestations of infection by any one type of haemolytic streptococcus was varied, e.g. wound suppuration, sore throat, pyrexia, otitis media. Many of the infections were “latent”.

7. In addition to the haemolytic streptococcal outbreaks, there were two outbreaks of diphtheria (fifteen patients), two of Bact. sonnei dysentery (ten patients and one nurse), one of catarrhal jaundice (one patient and three nurses), six cases of intercurrent gastro-enteritis of infancy and one case of measles.

8. In all, at least 104 (or 18·9%) of the 551 patients of these wards developed intercurrent infections, manifest or latent, during their stay in hospital.

Type
Research Article
Information
Journal of Hygiene , Volume 40 , Issue 6 , December 1940 , pp. 647 - 672
Copyright
Copyright © Cambridge University Press 1940

References

REFERENCES

Allison, V. D. & Brown, W. A. (1937). Reinfection as a cause of complications and relapses in scarlet fever wards. J. Hyg., Comb., 37, 153–71.CrossRefGoogle ScholarPubMed
Anderson, J. S., Cooper, K. E., Happold, F. C. & McLeod, J. W. (1933). Incidence and correlation with clinical severity of gravis, mitis, and intermediate types of diphtheria bacillus in a series of 500 cases at Leeds. J. Path. Bact. 36, 169–82.CrossRefGoogle Scholar
Anderson, J. S., Happold, F. C., McLeod, J. W. & Thomson, J. G. (1931). On the existence of two forms of diphtheria bacillus—B. diphtheriae gravis and B. diphtheriae mitis—and a new medium for their differentiation and for the bacteriological diagnosis of diphtheria. J. Path. Bact. 34, 667–81.CrossRefGoogle Scholar
Bradley, W. H. (1938). The spread of streptococcal disease. Brit. Med. J. 2, 733–8.CrossRefGoogle ScholarPubMed
Brennemann, J. (1932). The infant ward. Am. J. Dis. Child, 43, 577–84.Google Scholar
Debré, R. (1936). Surla lutte contre la contamination intérieure dans les hôpitaux d'enfants.Nécessité et efficacité d'un service special. Bull. Acad. de méd. 116, 194–201, 371.Google Scholar
Glass, V. & Wright, H. D. (1938). Cross-infection in diphtheria wards. J. Hyg., Camb., 38, 248–54.CrossRefGoogle ScholarPubMed
Grancher, J. J. (1888). Antisepsie médicale. Paris.Google Scholar
Griffith, F. (1926). Types of haemolytic streptococci in relation to scarlet fever. J. Hyg., Camb., 25, 331–7.Google ScholarPubMed
Griffith, F. (1927). Types of haemolytic streptococci in relation to scarlet fever. J. Hyg., Camb., 26, 363–73.Google ScholarPubMed
Griffith, F. (1934). Serological classification of Streptococcus pyogenes. J. Hyg., Camb., 34, 542–84.Google ScholarPubMed
Hutinel, V. (1894). La diphtérie aux Enfants-Assistés de Paris; sa suppression; étude de prophylaxie. Rev. mens. d. mal. de l'enf. 12. 515–30—see also Brit. med. J. (1894), 2, 993–4.Google Scholar
Hutinel, V. (1909). Les Maladies des Enfants, 1, 197–213.Google Scholar
Keevil, N. L. & Camps, F. E. (1937). Epidemic streptococcal infection in a general hospital. Lancet, 2, 207–10.CrossRefGoogle Scholar
McKhann, C. F., Steeger, A. & Long, A. P. (1938). Hospital infections; a survey of the problem. Am. J. Dis. Child, 55, 579–99.CrossRefGoogle Scholar
Okell, C. C. & Elliott, S. D. (1936). Cross-infection with haemolytic streptococci in otorhinological wards. Lancet, 2, 836–42.CrossRefGoogle Scholar
Proc. Amer. Acad. Pediatrics (1934). J. Pediat. 4, 693.Google Scholar
Proc. Fourth Conference of Int. Ass. Prev. Paediat (1935). Paris Médicale, 98, 377.Google Scholar
Proc. Sixth North Ped. Congress (1935). Acta Paediat. 17, Suppl. I.Google Scholar
Rauchfuss, C. (1877). Gerhardt's Handbuch der Kinderkrankheiten, I, 463.Google Scholar
Wells, W. F. & Wells, M. W. (1936). Air-borne infection. J.A.M.A. 107, 1698–1703.CrossRefGoogle Scholar