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 )

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Staphylococcal scalded skin syndrome
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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

continued.

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

outbreak.

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1990: A outbreak of neonatal SSSS in Maternity unit.
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(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.

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

Ref) Dancer SJ, Simmons SM, Poston SM, Noble WC,: Outbreak of

staphylococcal scalded skin syndrome among neonates.

Journal of Infection 16, 87-103,1988.

Any questions, write to Keiji Hagiwara, M.D.

E-mail: keijihagiwara@gmail.com