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  • 1.
    Enkirch, Theresa
    et al.
    European Programme for Public Health Microbiology Training (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden; Public Health Agency of Sweden, Solna, Sweden.
    Eriksson, Ronnie
    National Food Agency, Uppsala, Sweden.
    Persson, Sofia
    National Food Agency, Uppsala, Sweden.
    Schmid, Daniela
    Austrian Agency for Health and Food Safety, Vienna, Austria.
    Aberle, Stephan W
    Center for Virology, Medical University of Vienna, Vienna, Austria.
    Löf, Emma
    European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden; Public Health Agency of Sweden, Solna, Sweden.
    Wittesjö, Bengt
    Department of Communicable Disease Control and Prevention, Blekinge County, Sweden.
    Holmgren, Birgitta
    Department of Communicable Disease Control and Prevention, Skåne County, Sweden.
    Johnzon, Charlotte
    The Environment and Health Administration of Stockholm Municipality, Stockholm, Sweden.
    Gustafsson, Eva X
    Department of Communicable Disease Control and Prevention, Skåne County, Sweden.
    Svensson, Lena M.
    Region Östergötland, Centrum för verksamhetsstöd och utveckling, Smittskydd Vårdhygien.
    Sandelin, Lisa Labbé
    Department of Communicable Disease Control and Prevention, Kalmar County, Sweden.
    Richter, Lukas
    Austrian Agency for Health and Food Safety, Vienna, Austria.
    Lindblad, Mats
    National Food Agency, Uppsala, Sweden.
    Brytting, Mia
    Public Health Agency of Sweden, Solna, Sweden.
    Maritschnik, Sabine
    Austrian Agency for Health and Food Safety, Vienna, Austria.
    Tallo, Tatjana
    Public Health Agency of Sweden, Solna, Sweden.
    Malm, Therese
    Department of Communicable Disease Control and Prevention, Gävleborg County, Sweden.
    Sundqvist, Lena
    Public Health Agency of Sweden, Solna, Sweden.
    Ederth, Josefine Lundberg
    Public Health Agency of Sweden, Solna, Sweden.
    Hepatitis A outbreak linked to imported frozen strawberries by sequencing, Sweden and Austria, June to September 20182018Inngår i: Eurosurveillance, ISSN 1025-496X, E-ISSN 1560-7917, Vol. 23, nr 41, artikkel-id 1800528Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Between June-September 2018, 20 hepatitis A cases were notified in six counties in Sweden. Combined epidemiological and microbiological investigations identified imported frozen strawberries produced in Poland as the source of the outbreak. Sequence analysis confirmed the outbreak strain IB in the strawberries with 100 % identity and the respective batch was withdrawn. Sharing the sequence information internationally led to the identification of 14 additional cases in Austria, linked to strawberries from the same producer.

    Fulltekst (pdf)
    fulltext
  • 2.
    Flodin, Ulf
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Arbets- och miljömedicin.
    Paues, Jakob
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för mikrobiologi och molekylär medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Infektionskliniken i Östergötland.
    Åkerlind, Britt
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för mikrobiologi och molekylär medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för verksamhetsstöd och utveckling, Smittskydd Vårdhygien.
    Leanderson, Per
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Arbets- och miljömedicin.
    Sjögren, Bengt
    Karolinska Institutet, Arbetsmiljötoxikologi, Institutet för miljömedicin Stockholm, Sweden Institutet för miljömedicin, Karolinska Institutet - Arbetsmiljötoxikologi Stockholm, Sweden.
    Svetsare – en riskgrupp för septisk pneumoni [Welders - a risk group for septic pneumonia]: Vaccination mot pneumokocker kan vara motiverat för yrkesgruppen2017Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 114, nr 6Artikkel i tidsskrift (Fagfellevurdert)
  • 3.
    Gideskog, Maria
    et al.
    Region Östergötland, Centrum för verksamhetsstöd och utveckling, Smittskydd Vårdhygien.
    Melhus, Asa
    Region Östergötland, Centrum för verksamhetsstöd och utveckling, Smittskydd Vårdhygien. Uppsala Univ Hosp, Sweden.
    Outbreak of Methicillin-resistant Staphylococcus aureus in a Hospital Center for Childrens and Womens Health in a Swedish County2019Inngår i: Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS), ISSN 0903-4641, E-ISSN 1600-0463, Vol. 127, nr 4, s. 181-186Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this study was to investigate a sudden increase in methicillin-resistant Staphylococcus aureus (MRSA) cases primarily in one maternity ward at the Center for Childrens and Womens Health at Linkoping University Hospital, Sweden. Approximately 300 individuals including patients, their family members, and healthcare workers were screened for MRSA. The antibiotic susceptibility was tested and isolates polymerase chain reaction (PCR)-positive for the mecA gene were spa typed. Isolates with the same antibiogram and spa type were further whole genome sequenced. Compliance to current cleaning and hygiene routines was also controlled, and environmental samples collected. The results showed that a total of 13 individuals were involved in the outbreak. It was caused by a t386 MRSA strain (ST-1, NCBI-accession AB505628) with additional resistance to erythromycin and clindamycin. All cases were epidemiologically connected to the index patient, who had recently emigrated from a high-endemic area for MRSA. With improved cleaning and better compliance to basic hygiene routines, no further cases were reported. This study demonstrates how rapid an MRSA strain can disseminate in a ward with susceptible patients and insufficient cleaning and hygiene. For a better control of MRSA, clinical cultures and screening samples need to be obtained early and more extensively than according to the current recommendations.

  • 4.
    Nordqvist, Pernilla
    et al.
    Region Östergötland, Centrum för verksamhetsstöd och utveckling.
    Roberg, Magnus
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för verksamhetsstöd och utveckling, Smittskydd Vårdhygien.
    Magnusson, Martin
    Region Östergötland, Ledningsstab Region Östergötland, Övrig enhet.
    Sjödahl, Rune
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Kirurgi, Ortopedi och Onkologi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Kirurgiska kliniken US.
    Vårdrelaterade infektioner en betydande del av vårdskadorna på sjukhus - Studie i Linköping visar att fler fall borde kunna undvikas2017Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 114Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Preventable hospital acquired infections are common A modified GTT (Global trigger tool) was used for 480 patient records from 15 departments at Linköping University Hospital. Sixty-three hospital-acquired infections (HAI) were detected at 59 admissions. Postoperative wound infections were most common (44.4 %). Catheter-related urinary infections occurred in 15.9 %, infections associated with a central venous catheter in 7.9 % and hospital-acquired pneumonia in 6.3 % of all HAI.  Other types of HAI consisting of any abscess or oral Candida infection composed 17.5 %. Some 221 patients were operated (46.0 %). Postoperative wound infections were diagnosed in 28 of them (12.7 %), the majority after discharge from hospital. Most urinary infections were diagnosed in emergency patients (8/10). Prolonged hospital stay or unplanned return to hospital occurred in 54 %. Out of 63 HAI some 76.2 % were judged as probably preventable, and 11.1 % as preventable.

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