Effectiveness of healthcare worker screening in hospital outbreaks with gram-negative pathogens: a systematic review

Table 1 Nosocomial outbreaks caused by health care workers involving gram negative bacteria

Autor, year, reference	Pathogen	Department	# Patients	Microbiologically proven	Pathogen identified by rectal swabs	Location at personnel (colonisation and/or infection)
Falcao et al. 1972 [32]	Pseudomonas aeruginosa	Nursery	9	yes	yes	• faeces
Passaro et al.1997 [41]	Serratia marcescens	Surgery	7	yes	no	• hands (artificial nails)
Moolenaar et al. 2000 [36]	Pseudomonas aeruginosa	NICU	46	yes	no	• hands (fingernails)
McNeil et al. 2001 [34]	Pseudomonas aeruginosa	Surgery	16	yes	no	• hands (onychomycosis and fingernails)
Taneja et al., 2003 [20]	Escherichia coli (ETEC)	NICU	16	yes	yes	• hands • faeces
Zawacki et al. 2004 [31]	Pseudomonas aeruginosa	NICU	5	yes	no	• hands • ear
Gupta et al. 2004 [25]	Klebsiella pneumoniae (ESBL)	NICU	19	yes	no	• hands (artificial nails)
Boszczowski et al. 2005 [27]	Klebsiella pneumoniae (ESBL)	NICU	4	yes	no	• hands (onychomykosis)
Jepson et al. 2006 [39]	Serratia marcescens	Surgery	6	yes	no	• hands (ring)
Cassettari et al. 2009 [29]	Klebsiella pneumoniae (ESBL)	Neonatal Intermediate Care Unit	36	yes	no	• hands (onychomycotic lesions)

ETEC enterotoxigenic Escherichia coli, ESBL extended spectrum beta-lactamase, NICU neonatal intensive care unit

ISSN: 2047-2994