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Epidemiology of Nosocomial Outbreaks: 14-Year Experience at a Tertiary-Care Center

Published online by Cambridge University Press:  02 January 2015

Luis Ostrosky-Zeichner
Affiliation:
Division of Hospital Epidemiology and Medical Care Quality Control, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico
Rosa Baez-Martinez
Affiliation:
Division of Hospital Epidemiology and Medical Care Quality Control, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico
M. Sigfrido Rangel-Frausto
Affiliation:
Division of Hospital Epidemiology and Medical Care Quality Control, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico
Samuel Ponce-de-León*
Affiliation:
Division of Hospital Epidemiology and Medical Care Quality Control, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico
*
Division de Epidemiologia Hospitalaria, Instituto Nacional de la Nutrición, Vasco de Quiroga 15, Tlalpan, 14000 Mexico DF, Mexico

Abstract

Twelve nosocomial outbreaks over 14 years at a tertiary-care center in Mexico are described. Overall mortality was 25.8%, one half due to pneumonia. The most common organism was Pseudomonas aeruginosa. Incidence was three outbreaks per 10,000 discharges; outbreak-related infections comprised 1.56% of all nosocomial infections. Incidence in the intensive care unit was 10-fold higher.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

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References

1.Haley, RW, Tenney, JH, Lindsey, JO 2d, Garner, JS, Bennet, JV. How frequent are outbreaks of nosocomial infection in community hospitals? Infect Control 1985;6:233236.Google Scholar
2.Harbarth, S, Pittet, D. Identification and management of infectious outbreaks in the critical care unit. Curr Opin Crit Care 1996;2:352360.Google Scholar
3.Volkow-Fernandez, P, Ponce de Leon-Rosales, S, Sifuentes-Osornio, J, Calva-Mercado, JJ, Ruiz-Palacios, GM, Cerbon, MA. An epidemic of primary bacteremia due to an endemic strain of Serratia marcescens in an intensive care unit [in Spanish]. Salud Publica Mex 1993;35:440447.Google Scholar
4.Zaidi-Jacobson, M, Navarrete-Romero, ME, Romero-Oliveros, MC, Ponce de Len-Rosales, S. Hepatitis B at a hemodialysis unit: description of an outbreak and control [in Spanish]. Salud Publica Mex 1990;32:269275.Google Scholar
5.Baez-Martinez, R, Ibarra Blancas, J, Romero Oliveros, C, Ponce de Leon Rosales, S, Rangel-Frausto, MS. Colangitis y bacteremia por Pseudomonas aeruginosa secundaria a colangiografia endoscopica retrograda. Presented at the Memorias del XX Congreso Anual de la Asociacin Mexicana de Infectologia y Microbiología Clínica; November 8-11, 1995; Merida, Mexico. Enf Infecc y Microbiol 1995;15:320. Abstract 9 IN.Google Scholar
6.Rios Rivera, F, Duran Alcaraz, C, Rangel Frausto, MS, Ponce de Leon Rosales, S. Epidemia de neumoniaa nosocomial polimicrobiana: un estudio de casos y controles. Presented at the Memorias del XXI Congreso Anual de la Asociacin Mexicana de Infectologia y Microbiologia Clinica; November 13-16, 1996; Guadalajara, Mexico. Enf Infecc y Microbiol 1996;16:5. Abstract 239 IN.Google Scholar
7.Archer-Dubon, C, Icaza-Chavez, ME, Orozco-Topete, R, Reyes, E, Baez-Martinez, R, Ponce de León, S. An epidemic outbreak of Malassezia foliculitis in three adult patients of an intensive care unit: a previously unrecognized nosocomial infection. Int J Dermatol 1999;38:453456.CrossRefGoogle Scholar
8.Baez Martinez, R, Huertas Jimenez, M, Marquez Diaz, F, Romero Oliveros, C, Montiel Perdomo, J, Sifuentes Osornio, J, et al. Brote por Staphylococcus aureus resistente a meticilina (SARM) en una unidad de cuidados intensivos (UCI) de un hospital de tercer nivel de la ciudad de Mexico. Presented at the Memorias del XXII Congreso Anual de la Asociacin Mexicana de Infectologia y Microbiologia Clinica; November 12-15,1997; Oaxaca, Mexico. Enf Infecc y Microbiol 1997;17:101. Abstract D26 IN.Google Scholar
9.Martone, WJ, Jarvis, WR, Edwards, JR, Culver, DH, Haley, RW. Incidence and nature of endemic and epidemic nosocomial infections. In: Bennet, JV, Brachman, PS, eds. Hospital Infections. Lippincot-Raven; 1998:461476.Google Scholar
10.Wenzel, RP, Thompson, RL, Landry, SM, Russell, BS, Miller, PJ, Ponce de Leon, S, et al. Hospital-acquired infections in intensive care unit patients: an overview with emphasis on epidemics. Infect Control 1983;4:371375.Google Scholar