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Nosocomial Outbreak of Salmonella enterica Serovar Typhimurium Primarily Affecting a Pediatric Ward in South Africa in 2012
Author(s) -
Anthony M. Smith,
Mnikelwa A. Mthanti,
Carel Haumann,
Nomalungisa Tyalisi,
Gerald Boon,
Arvinda Sooka,
Karen H. Keddy
Publication year - 2013
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.02422-13
Subject(s) - outbreak , overcrowding , salmonella enterica , serotype , transmission (telecommunications) , medicine , salmonella , hygiene , microbiology and biotechnology , infection control , environmental health , virology , intensive care medicine , biology , bacteria , engineering , pathology , electrical engineering , economics , genetics , economic growth
We describe a nosocomial outbreak of diarrheal disease caused by extended-spectrum β-lactamase-producing multidrug-resistant Salmonella enterica serovar Typhimurium, focused on a pediatric ward in South Africa. The outbreak peaked between May 2012 and July 2012. Person-to-person transmission was the most likely mechanism of spread of the infection, expedited due to a breakdown in hand-washing and hygiene, suboptimal infection control practices, overcrowding of hospital wards, and an undesirable nurse-to-patient ratio.

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