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      Endemicity of Multiple Staphylococcal Phage Types: Relation to Two Common Source Outbreaks

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          Abstract

          An outbreak of Staphylococcus aureus bacteremia occurred among patients treated in the hemodialysis unit in 1971. A second outbreak of S. aureus peritonitis occurred in 1973 in patients with chronic indwelling peritoneal catheters cared for together in the medial intensive care unit. Although the attending personnel, patients, and geographical locations were different in each outbreak, the following similarities were noted: (1) more than one phage type was epidemic; (2) an exogenous mode of spread with cross-contamination between personnel and patient as well as between patient and patient, and (3) breaks in sterile technique when handling the arteriovenous shunt site or the peritoneal catheter were made without the staff conducting the procedure being aware of their occurrence. Culture surveys done during nonepidemic periods demonstrated persistence of several of the same phage types found during the two epidemics. Thus, an endemic reservoir of several different staphylococcal phage types was present. Careful, consistent application of aseptic technique when handling either arteriovenous shunts or peritoneal catheters and hand washing in between patients was required to prevent the endemic strains from becoming epidemic.

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          Author and article information

          Journal
          NEF
          Nephron
          10.1159/issn.1660-8151
          Nephron
          S. Karger AG
          1660-8151
          2235-3186
          1976
          1976
          28 November 2008
          : 16
          : 6
          : 462-471
          Affiliations
          Medical Service, West Haven Veterans Administration Hospital, and Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn.
          Article
          180670 Nephron 1976;16:462–471
          10.1159/000180670
          131255
          © 1976 S. Karger AG, Basel

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          Pages: 10
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