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Caesarean babies getting umbilical cord colonization. Is it due to hospital environment?

A 37-week-old infant was delivered by cesarean section and discharged from a Connecticut hospital when he was 10 days old. Two days later he was lethargic and had a fever. When he was readmitted to the hospital, he had multiple brain abscesses caused by Citrobacterdiversus. After a prolonged illness, the baby died. A second infant with a normal pregnancy and delivery died of C. diversus meningitis after a short illness. Nine infants in the hospital nursery had umbilical cord colonization by C. diversus. Environmental cultures were negative for hospital equipment.

Asked On : Sat, 20 Apr 2013
Answers:  1 Views:  168
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OBGYN 's  Response
Thanks for writing to us.
From the description provided, the transmission of infection from the hospital premises seems likely but the development of multiple abscesses in a two day old baby is not likely to be due to a perinatal infection.
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Dr. RakhiTayal
Answered: Sat, 20 Apr 2013
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