A sudden increase in cases of neonatal fever was observed at our hospital in 2009. Moreover,
Bacillus cereus was detected in a large number of cultures taken from hospitalized neonates during the same period. An infection control team examined the hospital environment and revealed widespread
B. cereus contamination of the linen used in the maternity ward. Therefore, the increase in cases of neonatal fever resulted from a
B. cereus outbreak and antiseptic and preventative measures were implemented to halt the spread of contamination.
B.cereus contamination at the company commissioned to handle the hospital's laundry was suspected to be the underlying cause of the outbreak at our hospital. Our measures resulted in the elimination of
B. cereus infections in hospitalized neonates, and no new cases of neonatal fever were detected.
B. cereus resides in the environment and shows resistance to antiseptics, so complete elimination from laundry is difficult. Therefore, the number of
B. cereus-positive specimens in hospitals should be monitored, and if an increase in positive samples is detected, the hospital's infection control team must examine if the increase should be considered a
B. cereus outbreak.
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