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Control of a Staph Epidemic in a Small Nursery: Outbreak of Staphylococcal Infection Among Newborn in a Small Hospital

Control of a Staph Epidemic in a Small Nursery: Outbreak of Staphylococcal Infection Among... Abstract The purpose of reporting this outbreak is to reveal the problems encountered when a staphylococcal epidemic occurs in a small newborn nursery, to comment upon the measures adopted to control it and prevent a recurrence, and to report the results thus far. The Nursery St. Clare Hospital is a 165-bed general hospital located in Monroe, Wis. The total number of admissions in 1959 was 6,571. The total number of live births was 909.The general nursery is divided into 3 rooms, each of which has a maximum approved capacity of 7 infants (a minimum of 24 sq. ft. of space for each infant) as recommended by the American Academy of Pediatrics.1 There is no premature nursery or an "overflow" nursery. Whenever there is a premature infant or an infant who stays longer than the usual 5 days, it is impossible to fill the nursery units in rotation and completely References 1. Report of the Committee on Fetus and Newborn: Standards and Recommendations for Hospital Care of Newborn Infants , Full-Term and Premature, The American Academy of Pediatrics, Evanston, Ill., 1957. 2. Breed, R. S.; Murray, E. G. D., and Smith, N. R.: Bergey's Manual of Determinative Bacteriology , Ed. 7, Baltimore, Williams & Wilkins Company, 1959. 3. Kresky, B., and Elias, H. L.: Epidemiology of Staphylococci Infection in the Nursery of a Small Community Hospital , J.A.M.A. 171:1080-1085 ( (Oct. 24) ) 1959.Crossref 4. Shaffer, T. E.; Baldwin, J. N.; Rheins, M. S., and Sylvester, R. F., Jr.: Staphylococcal Infections in Newborn Infants. I. Study of an Epidemic Among Infants and Nursing Mothers , Pediatrics 18:750-761 ( (Nov.) ) 1956. 5. Baldwin, J. N.; Rheins, M. S.; Sylvester, R. F., Jr., and Shaffer, T. E.: Staphylococcal Infections in New Born Infants. III. Colonization of Newborn Infants by Staphylococcus pyogenes , A.M.A. J. Dis. Child. 94:107-117 ( (Aug.) ) 1957.Crossref 6. Hodgman, J. E. (in panel discussion): War on the Hospital Staphylococcus , Audio Digest 6: ( (March 28) ) 1960. 7. Shaffer, T. E.; Sylvester, R. F., Jr.; Baldwin, J. N., and Rheins, M. S.: Staphylococcal Infections in Newborn Infants. II. Report of 19 Epidemics Caused by an Identical Strain of Staphylococcus pyogenes , Am. J. Pub. Health 47:990-994 ( (Aug.) ) 1957.Crossref 8. Hospital-Acquired Staphylococcal Disease, Proceedings of the National Conference of U.S. Public Health Service, Communicable Disease Center, Atlanta, Ga. (Sept.) 1958. 9. Shaffer, T. E.: The Epidemiology of Staphylococcal Infections , Wisconsin M.J. 58:303-306 ( (June) ) 1959. 10. Wentworth, F. H.; Miller, A. L., and Wentworth, B. B.: Observations Relative to the Nature and Control of Epidemic Staphylococcal Disease , Am. J. Pub Health 48:287-298 ( (March) ) 1958.Crossref 11. Shaffer, T. E.; Baldwin, J. N., and Wheeler, W. E.: Staphylococcal Infections in Nurseries. Advances in Pediatrics , Vol. 10, S. Z. Levine, Editor, Chicago, The Year Book Publishers, Inc., 1958. 12. Wysham, D. N., and others: Staphylococcal Infections in Obstetric Unit. II. Epidemiologic Studies of Puerperal Mastitis , New England J. Med. 257:304-306 ( (Aug.) ) 1957.Crossref 13. Hardyment, A. F.; Wilson, R. A.; Cockcroft, W., and Johnson, B.: Observations on the Bacteriology and Epidemiology of Nursery Infections , Pediatrics (Supp.) 25:907-927 ( (May) ) 1960. 14. Hardyment, A. F.: Control of Infections in Newborn , Canad. M.A.J. 70:379-382 ( (April) ) 1954. 15. Ravenholt, R. T.; Wright, P., and Mulhern, M.: Epidemiology and Prevention of Nursery-Derived Staphylococcal Disease , New England J. Med. 257:789-795 ( (Oct. 24) ) 1957.Crossref 16. Ravenholt, R. T., and Ravenholt, O. H.: Staphylococcal Infections in the Hospital and Community: Hospital Environment and Staphylococcal Disease , Am. J. Pub. Health 48:277-287 ( (March) ) 1958.Crossref 17. Fekety, R. F.; Buchbinder, L.; Shaffer, E. L.; Goldberg, S.; Price, H. P., and Pyle, L. A.: Control of an Outbreak of Staphylococcal Infections Among Mothers and Infants in a Suburban Hospital , Am. J. Pub. Health 48:298-310 ( (March) ) 1958.Crossref 18. Murray, W. A., Jr.; McDaniel, G. E., and Reed, M.: Evaluation of the Phone Survey in an Outbreak of Staphylococcal Infections in a Hospital Nursery for the Newborn , Am. J. Pub. Health 48:310-318 ( (March) ) 1958.Crossref 19. Farrer, S. M.; Russo, R.; Bavara, C., and Werthamer, S.: Surveillance and Control of Staphylococcic Infections in a Maternity Unit , J.A.M.A. 171:1072-1079 ( (Oct.) ) 1959.Crossref 20. Whitaker, W. M.: Staphylococcal Infections in Infants and Mothers, Part I , Hospital Management 88:86 ( (July) ) 1959. 21. Whitaker, W. M.: Staphylococcal Infections in Infants and Mothers, Part II , Hospital Management 88:76-78 ( (Aug.) ) 1959. 22. Hurst, V.: Transmission of Hospital Staphylococci Among Newborn Infants. I. Observations on the Contamination of a New Nursery , Pediatrics 25:11-20 ( (Jan.) ) 1960. 23. Hurst, V.: Transmission of Hospital Staphylococci Among Newborn Infants. II. Colonization of the skin and Mucous Membranes of the Infants , Pediatrics 25:204-214 ( (Feb.) ) 1960. 24. Stanton, R. M.: The Post-Natal Infection Survey... Early Warning of Nursery Danger , Hospitals 34:38-39 ( (March 1) ) 1960. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Control of a Staph Epidemic in a Small Nursery: Outbreak of Staphylococcal Infection Among Newborn in a Small Hospital

American Journal of Diseases of Children , Volume 101 (4) – Apr 1, 1961

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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1961.04020050024006
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Abstract

Abstract The purpose of reporting this outbreak is to reveal the problems encountered when a staphylococcal epidemic occurs in a small newborn nursery, to comment upon the measures adopted to control it and prevent a recurrence, and to report the results thus far. The Nursery St. Clare Hospital is a 165-bed general hospital located in Monroe, Wis. The total number of admissions in 1959 was 6,571. The total number of live births was 909.The general nursery is divided into 3 rooms, each of which has a maximum approved capacity of 7 infants (a minimum of 24 sq. ft. of space for each infant) as recommended by the American Academy of Pediatrics.1 There is no premature nursery or an "overflow" nursery. Whenever there is a premature infant or an infant who stays longer than the usual 5 days, it is impossible to fill the nursery units in rotation and completely References 1. Report of the Committee on Fetus and Newborn: Standards and Recommendations for Hospital Care of Newborn Infants , Full-Term and Premature, The American Academy of Pediatrics, Evanston, Ill., 1957. 2. Breed, R. S.; Murray, E. G. D., and Smith, N. R.: Bergey's Manual of Determinative Bacteriology , Ed. 7, Baltimore, Williams & Wilkins Company, 1959. 3. Kresky, B., and Elias, H. L.: Epidemiology of Staphylococci Infection in the Nursery of a Small Community Hospital , J.A.M.A. 171:1080-1085 ( (Oct. 24) ) 1959.Crossref 4. Shaffer, T. E.; Baldwin, J. N.; Rheins, M. S., and Sylvester, R. F., Jr.: Staphylococcal Infections in Newborn Infants. I. Study of an Epidemic Among Infants and Nursing Mothers , Pediatrics 18:750-761 ( (Nov.) ) 1956. 5. Baldwin, J. N.; Rheins, M. S.; Sylvester, R. F., Jr., and Shaffer, T. E.: Staphylococcal Infections in New Born Infants. III. Colonization of Newborn Infants by Staphylococcus pyogenes , A.M.A. J. Dis. Child. 94:107-117 ( (Aug.) ) 1957.Crossref 6. Hodgman, J. E. (in panel discussion): War on the Hospital Staphylococcus , Audio Digest 6: ( (March 28) ) 1960. 7. Shaffer, T. E.; Sylvester, R. F., Jr.; Baldwin, J. N., and Rheins, M. S.: Staphylococcal Infections in Newborn Infants. II. Report of 19 Epidemics Caused by an Identical Strain of Staphylococcus pyogenes , Am. J. Pub. Health 47:990-994 ( (Aug.) ) 1957.Crossref 8. Hospital-Acquired Staphylococcal Disease, Proceedings of the National Conference of U.S. Public Health Service, Communicable Disease Center, Atlanta, Ga. (Sept.) 1958. 9. Shaffer, T. E.: The Epidemiology of Staphylococcal Infections , Wisconsin M.J. 58:303-306 ( (June) ) 1959. 10. Wentworth, F. H.; Miller, A. L., and Wentworth, B. B.: Observations Relative to the Nature and Control of Epidemic Staphylococcal Disease , Am. J. Pub Health 48:287-298 ( (March) ) 1958.Crossref 11. Shaffer, T. E.; Baldwin, J. N., and Wheeler, W. E.: Staphylococcal Infections in Nurseries. Advances in Pediatrics , Vol. 10, S. Z. Levine, Editor, Chicago, The Year Book Publishers, Inc., 1958. 12. Wysham, D. N., and others: Staphylococcal Infections in Obstetric Unit. II. Epidemiologic Studies of Puerperal Mastitis , New England J. Med. 257:304-306 ( (Aug.) ) 1957.Crossref 13. Hardyment, A. F.; Wilson, R. A.; Cockcroft, W., and Johnson, B.: Observations on the Bacteriology and Epidemiology of Nursery Infections , Pediatrics (Supp.) 25:907-927 ( (May) ) 1960. 14. Hardyment, A. F.: Control of Infections in Newborn , Canad. M.A.J. 70:379-382 ( (April) ) 1954. 15. Ravenholt, R. T.; Wright, P., and Mulhern, M.: Epidemiology and Prevention of Nursery-Derived Staphylococcal Disease , New England J. Med. 257:789-795 ( (Oct. 24) ) 1957.Crossref 16. Ravenholt, R. T., and Ravenholt, O. H.: Staphylococcal Infections in the Hospital and Community: Hospital Environment and Staphylococcal Disease , Am. J. Pub. Health 48:277-287 ( (March) ) 1958.Crossref 17. Fekety, R. F.; Buchbinder, L.; Shaffer, E. L.; Goldberg, S.; Price, H. P., and Pyle, L. A.: Control of an Outbreak of Staphylococcal Infections Among Mothers and Infants in a Suburban Hospital , Am. J. Pub. Health 48:298-310 ( (March) ) 1958.Crossref 18. Murray, W. A., Jr.; McDaniel, G. E., and Reed, M.: Evaluation of the Phone Survey in an Outbreak of Staphylococcal Infections in a Hospital Nursery for the Newborn , Am. J. Pub. Health 48:310-318 ( (March) ) 1958.Crossref 19. Farrer, S. M.; Russo, R.; Bavara, C., and Werthamer, S.: Surveillance and Control of Staphylococcic Infections in a Maternity Unit , J.A.M.A. 171:1072-1079 ( (Oct.) ) 1959.Crossref 20. Whitaker, W. M.: Staphylococcal Infections in Infants and Mothers, Part I , Hospital Management 88:86 ( (July) ) 1959. 21. Whitaker, W. M.: Staphylococcal Infections in Infants and Mothers, Part II , Hospital Management 88:76-78 ( (Aug.) ) 1959. 22. Hurst, V.: Transmission of Hospital Staphylococci Among Newborn Infants. I. Observations on the Contamination of a New Nursery , Pediatrics 25:11-20 ( (Jan.) ) 1960. 23. Hurst, V.: Transmission of Hospital Staphylococci Among Newborn Infants. II. Colonization of the skin and Mucous Membranes of the Infants , Pediatrics 25:204-214 ( (Feb.) ) 1960. 24. Stanton, R. M.: The Post-Natal Infection Survey... Early Warning of Nursery Danger , Hospitals 34:38-39 ( (March 1) ) 1960.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Apr 1, 1961

References