[An episode of hospital infection due to Klebsiella pneumoniae in a neonatal department]. / Episod de infectie spitaliceasca într-un serviciu de nou-nascuti determinat de Klebsiella pneumoniae.

Enterotoxin-producing Klebsiella pneumoniae was implicated in the induction of intrahospital infections in new-born babies. A total of 46 children and 4 adults (hospital personnel) were involved. Most of the subjects (82.6%) had median and light forms of gastroenterocolitis, and recovered following biological re-equilibration. In 17.39% of the cases the evolution was more severe due to advanced dehydration and secondary dissemination of the infection. Two children (approximately 4%) died. Factors that favored the dissemination of the infection were hygiene deficiencies and ignorance of functioning rules of materno-infantile units, and these included: admission to the hospital of working personnel with acute phenomena of enterocolitis; administration of sweetened solutions that were prepared without control and stored at room temperature; the "critical" point represented by the special room for "the accommodation" of the newborns, a "key-point" where infection was disseminated to other wards following dispersion of "adapted babies".

[Characteristics of the outbreak and control of an epidemic of bacillary dysentery of hydric origin]. / Particularitati în izbucnirea si controlul unei epidemii de dizenterie bacilara si origine hidrica.

In December 1978, an unexpected outbreak of acute gastroenteritis occurred in a shoe factory. The clinical, epidemiological and laboratory investigations established the hydric origin of the dysentery due to Shigella flexneri 3 a, caused by the illicit communication of the drinking water and industrial water mains. The antiepidemic measures promptly taken arrested the outbreak in three days ; there were no secondary, contact cases.