Nosocomial transmission of penicillin-resistant Streptococcus pneumoniae

Two patients were found to harbor intermediate‐level penicillin‐resistant Streptococcus pneumoniae in a pediatric hospital setting. For the first patient, the bacterium was isolated from a tracheal aspirate, and for the second patient, a positive blood culture was found a short time after the index...

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Bibliographic Details
Published in:Pediatric pulmonology 1999-06, Vol.27 (6), p.432-434
Main Authors: Cimolai, Nevio, Cogswell, Arthur, Hunter, Robyn
Format: Article
Language:English
Subjects:
antibiotic resistance
Child, Preschool
Cross Infection - drug therapy
Humans
Infant
Male
penicillin
Penicillin Resistance
Polymerase Chain Reaction - methods
Streptococcal Infections - drug therapy
Streptococcal Infections - transmission
Streptococcus pneumoniae
Streptococcus pneumoniae - drug effects
Streptococcus pneumoniae - genetics
Streptococcus pneumoniae - isolation & purification
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Summary:Two patients were found to harbor intermediate‐level penicillin‐resistant Streptococcus pneumoniae in a pediatric hospital setting. For the first patient, the bacterium was isolated from a tracheal aspirate, and for the second patient, a positive blood culture was found a short time after the index case. Two molecular typing techniques (enterobacterial repetitive intergenic consensus sequence polymerase chain reaction, and repetitive sequence‐based polymerase chain reaction) demonstrated homology among these isolates, which suggests person‐to‐person spread. We propose the need for institution‐based infection control precautions that will limit the spread of penicillin‐resistant pneumococci. Pediatr Pulmonol. 1999; 27:432–434. © 1999 Wiley‐Liss, Inc.
ISSN:8755-6863
1099-0496
DOI:10.1002/(SICI)1099-0496(199906)27:6<432::AID-PPUL12>3.0.CO;2-1