12 October, 2008

Staphyloccal Scalded Skin Syndrome in newborn

Staphylococcal scalded skin syndrome in newborn baby;
reddishness around the neck skin and peeling(another case of this story).

Staphylococcus aureus in human skin
(Dr. Dennis Kunkel, Dennis Kunkel Microscopy, Inc. Kailua, HI )

Staphylococcal scalded skin syndrome

In early spring 1990, a newborn with
staphylococcal scalded
skin syndrome (=SSSS) came to the Department of Pediatrics,
Yamaguchi University Hospital and subsequently another 2
babies came to the outpatient clinic. Those 3 babies were born
at maternity unit of University Hospital.

The staff of maternity unit had tried to control of this staphylo-
coccus infection. So the rooms, linen, curtains, gowns, and
floors were cleaned with a disinfectants and heavy hand
washings were ordered to the staffs . But the outbreak of SSSS

The Professor of Pediatrics asked me any idea to stop of this
outbreak. In that time, I didn't knew where and when staphylo-
coccus was transmitted to newborn baby ? I went to Library
and found one paper from Guy’s Hospital, London.
It described as follow;

We described two outbreaks of staphylococcal skin infection
among neonates, Aged from 3 to 16 dates, who were delivered
in the maternity unit at Guy’s Hospital. The first outbreak,
which included six babies, began in mid-February1986 and
lasted for a period of 10 days; second, began exactly 4 weeks
later, involved a further possible nine babies and resolved in
14 days. We wish to draw attention to the work that all of this
caused, the procedures used to identify the epidemic strain,
and to show how the two outbreaks were connected by
persistent nasal carriage by one member of hospital staff.

I showed this paper to the chief of the committee for Hospital
Infection Control. Then the committee conducted same method
as described by Guy's Hospital and succeeded to control this
1990: A outbreak of neonatal SSSS in Maternity unit.
(only show the cases which extensive bacterial examination
were done)
May 1990 : 2 cases
June: 1 case
July: 1 case
August: 3 cases
September: 3 cases -------- and no cases after.

# The carrier of our case: Staphylococcus aureus (MRSA and
produced exofoliative toxin) were isolated from nasal swabs
of 2 obstetrician.

I thank you to Docters of Guy's Hospital of London.

Dancer SJ, Simmons SM, Poston SM, Noble WC,: Outbreak of
Journal of Infection 16, 87-103,1988.

Any questions, write to Keiji Hagiwara, M.D.
E-mail: keijihagiwara@gmail.com