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Possible nosocomial transmission of psittacosis.
Infection Control and Hospital Epidemiology 1997 March
OBJECTIVES: To investigate a cluster of seven pneumonia cases among persons exposed to a pet-shop worker hospitalized with psittacosis.
DESIGN: Epidemiological study of the outbreak, sero-diagnostic evaluation of exposed persons with pneumonia; and retrospective review of the pneumonia cases.
SETTING: 450-bed teaching community hospital.
PARTICIPANTS: Employees of the nursing unit where the patient with psittacosis was hospitalized.
RESULTS: The index case had laboratory and clinical evidence of psittacosis. Four of the seven exposed persons who developed pneumonia had serologic results that met criteria for a diagnosis of psittacosis, and three met criteria for Chlamydia pneumoniae infection, possibly reflecting cross-reactivity between the microimmunofluorescence assays for the two diseases. The epidemiological graph suggested a relationship between the index case and the cluster of pneumonias in exposed individuals.
CONCLUSIONS: Psittacosis may have been transmitted person to person in a hospital setting.
DESIGN: Epidemiological study of the outbreak, sero-diagnostic evaluation of exposed persons with pneumonia; and retrospective review of the pneumonia cases.
SETTING: 450-bed teaching community hospital.
PARTICIPANTS: Employees of the nursing unit where the patient with psittacosis was hospitalized.
RESULTS: The index case had laboratory and clinical evidence of psittacosis. Four of the seven exposed persons who developed pneumonia had serologic results that met criteria for a diagnosis of psittacosis, and three met criteria for Chlamydia pneumoniae infection, possibly reflecting cross-reactivity between the microimmunofluorescence assays for the two diseases. The epidemiological graph suggested a relationship between the index case and the cluster of pneumonias in exposed individuals.
CONCLUSIONS: Psittacosis may have been transmitted person to person in a hospital setting.
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