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- W4387095989 abstract "Nine surgical site infections caused by Serratia marcescens were diagnosed in neurosurgical patients in a 3500-bed hospital between 2nd February and 6th April, 2022.To trace the source of infections caused by S. marcescens to expedite the termination of the outbreak and prevent future epidemics.A review of all surgical procedures and cultures yielding S. marcescens since February 2022 was conducted. Samples from patients and environmental sources were collected. S. marcescens isolates were characterized by antibiotic susceptibility testing. Whole genome sequencing was used to investigate genetic relationships. Resistance genes, virulence genes, and plasmid replicons were identified.S. marcescens was isolated from patients' puncture fluid, cerebrospinal fluid, and other secretions, and was also cultured from the barbers' haircutting tools that included leather knife, slicker scraper and razor. In total, we obtained fifteen isolates from patients and eight isolates from haircutting tools. All isolates exhibited identical antibiotic resistance patterns. WGS revealed a close clustering among the 23 isolates which differed significantly from previously strains. Three resistance genes and nine virulence-associated genes were detected in all isolates and 19/23 isolates harboured a MOBP-type plasmid. The results confirmed a S. marcescens outbreak, which was traced to contaminated haircutting tools in the hospital barber shop and ended after extensive reinforcement of infection control procedures and re-education of the barbers.These results highlight the risk of postoperative infections related to preoperative skin preparation and demonstrate the value of next-generation sequencing tools to expedite outbreak investigations." @default.
- W4387095989 created "2023-09-28" @default.
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- W4387095989 date "2023-09-01" @default.
- W4387095989 modified "2023-10-13" @default.
- W4387095989 title "Genomic epidemiological investigation of an outbreak of Serratia marcescens neurosurgical site infections associated with contaminated haircutting toolkits in a hospital barbershop" @default.
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- W4387095989 doi "https://doi.org/10.1016/j.jhin.2023.09.013" @default.
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