Nosocomial Colonization and Infection due to E. coli 0125:K70 Epidemiologically Linked to Expressed Breast-Milk Feedings

An outbreak of nosocomial colonization and infection in a newborn nursery due to E. coli 0125:K70 is described. Employing attack rate analysis, colonization with the epidemic serotype was epidemiologically linked to the ingestion of expressed breast milk (EBM). This occurred when the organism was is...

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Bibliographic Details
Published in:Canadian journal of public health 1977-11, Vol.68 (6), p.479-482
Main Authors: STIVER, H. GRANT, ALBRITTON, WILLIAM L., CLARK, JANET, FRIESEN, PETER, WHITE, FRANKLIN M.M.
Format: Article
Language:English
Subjects:
Antibiotics
Breast milk
Cross Infection - epidemiology
Cross Infection - microbiology
Diarrhea
Epidemics
Epidemiology
Escherichia coli
Escherichia coli Infections - epidemiology
Escherichia coli Infections - microbiology
Female
Humans
Infant, Newborn
Infant, Newborn, Diseases - epidemiology
Infants
Infections
Manitoba
Microbial colonization
Milk, Human - microbiology
Nurseries
Pregnancy
Public health
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Summary:An outbreak of nosocomial colonization and infection in a newborn nursery due to E. coli 0125:K70 is described. Employing attack rate analysis, colonization with the epidemic serotype was epidemiologically linked to the ingestion of expressed breast milk (EBM). This occurred when the organism was isolated infrequently from other sources in the province, emphasizing the localized nature of the outbreak. Investigation of the handling of EBM revealed inadequacies in technique and correction of these inadequacies together with the institution of adequate control measures led to a prompt reduction of colonization and subsequent eradication of the organism from the nursery. La colonisation d'une pouponnière par une souche de coliformes est décrite. L'analyse statistique a démontré que la souche de coliformes à l'origine de l'épidémie était liée à l'ingestion de lait maternel non pasteurisé. Cette épidémie est survenue à une période au cours de laquelle on isolait de façon sporadique cette même souche de coliformes au Manitoba, ce qui fait ressortir la nature locale de l'éclosion. Des erreurs techniques dans la manipulation du lait ont été décelées. La correction de ces erreurs, ajouté à l'institution de meilleures mesures de contrôle, a permis l'éradication progressive de l'organisme dans la pouponnière.
ISSN:0008-4263
1920-7476