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Enterobacter Species in a Pediatric Hospital: Horizontal Transfer or Selection in Individual Patients?
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Journal Article
Enterobacter Species in a Pediatric Hospital: Horizontal Transfer or Selection in Individual Patients?
2001
Overview
Enterobacter species were studied longitudinally in a children’s hospital. In total, 287 Enterobacter isolates were obtained from 171 children in 15 different wards (from March 1995 through April 1997). Strains were typed by random amplified polymorphic DNA and pulsed-field gel electrophoresis, which were concordant in outcome. In total, 97 DNA types and 199 colonization events were identified. A predominant clone was isolated 111 times from 62 children; another clone was isolated 19 times from 10 patients. These clones caused 36% of all colonizations. In 34% of the children, Enterobacter clones were found in 2–4 patients. The remaining colonizations were due to unique Enterobacter isolates. A large proportion of the Enterobacter strains was acquired through cross-transmission. This finding contrasts with the prevailing opinion that resistant Enterobacter strains are selected primarily from the patient’s own gut flora
Publisher
The University of Chicago Press,University of Chicago Press,Oxford University Press
Subject
/ Antibiotics. Antiinfectious agents. Antiparasitic agents
/ Biological and medical sciences
/ Child
/ Cross Infection - epidemiology
/ Cross Infection - transmission
/ Disease Transmission, Infectious
/ DNA
/ DNA, Bacterial - isolation & purification
/ Enterobacter - isolation & purification
/ Enterobacteriaceae Infections - epidemiology
/ Enterobacteriaceae Infections - transmission
/ Female
/ Fundamental and applied biological sciences. Psychology
/ Gels
/ Hospitals, Pediatric - statistics & numerical data
/ Humans
/ Infant
/ Male
/ Mycological methods and techniques used in mycology
/ Mycology
