ABSTRACT
We report an unusual pseudo-outbreak of Penicillium that occurred in patients seen in an outpatient obstetrics and gynecology clinic. The pseudo-outbreak was detected in late 2012, when the microbiology department reported a series of vaginal cultures positive for Penicillium spp. Our investigation found Penicillium spp in both patient and environmental samples and was potentially associated with the practice of wetting gloves with tap water by a health care worker prior to patient examination.
Subject(s)
Disease Outbreaks , Gloves, Surgical/microbiology , Mycoses/epidemiology , Outpatients , Penicillium/isolation & purification , Vagina/microbiology , Ambulatory Care Facilities , Female , Gynecology , Humans , Mycoses/microbiology , Obstetrics , Water MicrobiologySubject(s)
Academic Medical Centers , Cesarean Section , Infection Control/methods , Practice Patterns, Physicians'/statistics & numerical data , Surgical Wound Infection/prevention & control , Female , Health Care Surveys , Humans , Infection Control/statistics & numerical data , Pregnancy , United StatesABSTRACT
Privacy curtains, frequently used in hospitals to separate patient care areas may have an important role in the transmission of healthcare-associated pathogens. In this pilot study, we inoculated curtain swatches with suspensions of clinical specimens of meticillin resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococcus (VRE), and Clostridium difficile before using a gloved hand to touch the inoculated curtain swatch and transfer to clean agar plates. Three different commonly used disinfectants were then sprayed onto these swatches before using a clean gloved hand to touch the swatch and transfer onto new agar plates. All plates were incubated at 35°C for 24 and 72 h. Bacterial growth before and after disinfection was assessed and compared. 3.1% hydrogen peroxide effectively eliminated transfer of C. difficile, MRSA and VRE from inoculated curtains.
