Outbreak of Stenotrophomonas maltophilia bacteremia among patients undergoing bone marrow transplantation: association with faulty replacement of handwashing soap.

@article{Klausner1999OutbreakOS,
  title={Outbreak of Stenotrophomonas maltophilia bacteremia among patients undergoing bone marrow transplantation: association with faulty replacement of handwashing soap.},
  author={Jeffrey Klausner and Carol Zukerman and Ajit P Limaye and Lawrence Corey},
  journal={Infection control and hospital epidemiology},
  year={1999},
  volume={20 11},
  pages={
          756-8
        }
}
Using molecular typing methods, we confirmed an outbreak of Stenotrophomonas maltophilia among bone marrow transplant patients. The likely source was a healthcare worker who may have washed with moisturizer instead of soap between patients. Hospital epidemiologists need to go beyond antibiograms when evaluating outbreaks and be vigilant about all aspects of hand washing. 
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