Epidemics of staphylococcic infection in operating rooms have stimulated a critical interest in the origin and mode of transmission. The patience, ingenuity, and thoroughness required for the solution of such problems are illustrated by the account of Surgeon C, identified as the precipitating source of an epidemic. He was involved in 15 thoracic operations in which staphylococcic complications developed. Strains of staphylococci cultured from his face, nose, and hands were found, by antibiograms and phage typing, to be the same as those obtained from lesions in the infected patients. Pertinent questions are the reasons for Surgeon C's propensity for carrying epidemic strains and for his reversion, without treatment, to a negative carrier state. After a carrier has been identified and transferred, strict adherence to aseptic techniques will reduce the morbidity and mortality.
Nahmias AJ, Godwin JT, Updyke EL, Hopkins WA. Postsurgical Staphylococcic Infections: Outbreak Traced to an Individual Carrying Phage Strains 80/81 and 80/81/52/52A. JAMA. 1960;174(10):1269–1275. doi:10.1001/jama.1960.03030100037009
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