ArticleAntimicrobial resistance and infection control2020
Outbreak investigation of Serratia marcescens neurosurgical site infections associated with a contaminated shaving razors.
Article in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 22 citations in OpenAlex.
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- A Triple-Modality Peptide-Antibiotic-Phage Therapy Eradicates Multidrug-ResistantbioRxiv : the preprint server for biology · 2026Article
- Integrated metagenomic and culture-dependent profiling reveals electric shavers as selective reservoirs for multidrug-resistant opportunistic pathogens.Frontiers in microbiology · 2026Article
- Investigation and control of two consecutive Serratia marcescens outbreaks linked to reusable LigaSure devices in an operating room.Antimicrobial resistance and infection control · 2025Article
- Phenotypic and in silico characterization of carbapenem-resistant Serratia marcescens clinical strains.Journal of global antimicrobial resistance · 2025Article
- An Outbreak ofAntibiotics (Basel, Switzerland) · 2025Article
- Emergence of high-risk ST595 and ST640 clones of carbapenem-resistantFrontiers in microbiology · 2025Article
- Contribution of the patient microbiome to surgical site infection and antibiotic prophylaxis failure in spine surgery.Science translational medicine · 2024Article
- Article
- Development and Evaluation of a Core Genome Multilocus Sequencing Typing (cgMLST) Scheme for Serratia marcescens Molecular Surveillance and Outbreak Investigations.Journal of clinical microbiology · 2022Article
- Analysis of the molecular characteristics of a blaKPC-2-harbouring untypeable plasmid in Serratia marcescens.International microbiology : the official journal of the Spanish Society for Microbiology · 2022Article
- Molecular Characterization of Class 1, 2 and 3 Integrons inInfection and drug resistance · 2021Article
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Authors and funding
13 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical site infection (SSI) is the most common healthcare-associated infection. We report an outbreak of neurosurgical site infections caused by Serratia marcescens after craniotomy in a tertiary care hospital.
methodsBetween August 6 and 21, 2018, five cases of early-onset SSI caused by S. marcescens after craniotomy were recorded in a 1786-bed tertiary care hospital. Cultures were collected from potential environmental sources and healthcare workers. Whole-genome sequencing (WGS) was used to investigate the genetic relationships among S. marcescens isolates.
resultsThe outbreak involved five patients; S. marcescens was isolated from the cerebrospinal fluid, pus, tissue, and blood samples from these patients. S. marcescens was also isolated from shaving razors and brushes. All S. marcescens isolates from the infected patients and razors showed the same resistance patterns on antibiotic-susceptibility tests. WGS revealed close clustering among four of five isolates from the patients and among three of four isolates from the razors. No additional patient developed S. marcescens infection after we stopped using the razors for scalp shaving.
conclusionsWe report an outbreak of neurosurgical site infections after craniotomy, which was associated with shaving razors contaminated by S. marcescens. Shaving scalps with razors should be avoided to prevent SSI.
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