Outbreak of Late-onset Group B Streptococcal Infections in Healthy Newborn Infants after Discharge from a Maternity Hospital: A Case Report.
10.3346/jkms.2006.21.2.347
- Author:
Hyung Jin KIM
1
;
Soo Young KIM
;
Won Hee SEO
;
Byung Min CHOI
;
Young YOO
;
Kee Hyoung LEE
;
Baik Lin EUN
;
Hai Joong KIM
Author Information
1. Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea. cbmin@korea.ac.kr
- Publication Type:Case Reports
- Keywords:
Disease Outbreaks;
Nosocomial infection;
Cross Infection;
Nurseries;
Streptococcus agalactiae;
Sepsis;
Meningitis;
Infant, Newborn
- MeSH:
Time Factors;
*Streptococcus agalactiae/isolation & purification;
Streptococcal Infections/*epidemiology/microbiology/transmission;
Pregnancy;
Meningitis, Bacterial/epidemiology/microbiology/transmission;
Male;
Korea/epidemiology;
Infant, Newborn;
Humans;
Hospitals, Maternity;
Female;
*Disease Outbreaks;
Cross Infection/*epidemiology/microbiology/transmission
- From:Journal of Korean Medical Science
2006;21(2):347-350
- CountryRepublic of Korea
- Language:English
-
Abstract:
During a four-week period, four healthy term newborn infants born at a regional maternity hospital in Korea developed late-onset neonatal group B Streptococcus (GBS) infections, after being discharged from the same nursery. More than 10 days after their discharge, all of the infants developed fever, lethargy, and poor feeding behavior, and were subsequently admitted to the Korea University Medical Center, Ansan Hospital. GBS was isolated from the blood cultures of three babies; furthermore, GBS was isolated from 2 cerebral spinal fluid cultures. Three babies had meningitis, and GBS was isolated from their cerebral spinal fluid cultures. This outbreak was believed to reflect delayed infection after early colonization, originating from nosocomial sources within the hospital environment. This report underlines the necessity for Korean obstetricians and pediatricians to be aware of the risk of nosocomial transmissions of GBS infection in the delivery room and/or the nursery.
