DILLON writing in this issue emphasizes the importance of group A streptococcal nursery epidemics. His article1 is timely because such epidemics appear to be less frequent than formerly and we need to be reminded of our obligation to keep nurseries safe. By now we should be well aware of bad bug epidemics caused by group A streptococci, hospital staphylococci, and enteropathogenic Escherichia coli. We would like to think such epidemics occur with less frequency now due to the alertness of pediatricians, good hospital epidemiology, and new methods for control. We should also be aware of water bug infections occurring as outbreaks—the result of dirty nursery environment—mainly by gram-negative bacilli, such as Pseudomonas, Alkaligenes, Flavobacterium, etc. A recent report has even implicated Klebsiella type 25.2
Dillon's reference to the rising importance of sporadic group B streptococcus infections of the newborn, and Willis and Austin's report3 of Vibrio fetus
WHEELER WE. Nonepidemic Infections Peculiar to the Gravid State. Am J Dis Child. 1966;112(3):175–176. doi:10.1001/archpedi.1966.02090120043001
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