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Infectious Disease Diagnosis

Stool culture rejection protocol delayed detection of nosocomial Salmonella outbreak

Published in TB and Outbreaks Week, August 26th, 2003

A widely used stool culture rejection protocol has been blamed for the delayed detection of a nosocomial Salmonella outbreak.

According to a study from the Netherlands, "in October 2001 an outbreak of Salmonella enterica serovar enteritidis phage-type 6 occurred in a hospital and a nursing home, both served by the same hospital kitchen."

"Five nursing home residents died during the outbreak," and "S. enteritidis was isolated from three of them," noted M.J. Bruins and coauthors at the Isala Klinieken in Zwolle.

"Of 231 stool samples from nursing home residents, hospital patients and employees, 82 were...

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