{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:48:11Z","timestamp":1775868491387,"version":"3.50.1"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":4111,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0195941700085684_abs1\"><jats:title>Objective:<\/jats:title><jats:p>To determine the etiology of<jats:italic>Pseudomonas aeruginosa<\/jats:italic>surgical-site infections following cardiac surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700085684_abs2\"><jats:title>Setting:<\/jats:title><jats:p>University teaching hospital.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700085684_abs3\"><jats:title>Patients:<\/jats:title><jats:p>Those with wound cultures that grew<jats:italic>P. aeruginosa<\/jats:italic>after cardiac surgery performed from 1999 to 2001.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700085684_abs4\"><jats:title>Methods:<\/jats:title><jats:p>Medical records and operating room (OR) records of patients with<jats:italic>P. aeruginosa<\/jats:italic>cardiac surgical-site infections from 1999 to 2001 were reviewed. Healthcare workers involved with two or more cases were interviewed and examined. Specimens for environmental cultures were obtained from the ORs and cardiac surgical equipment. Cardiac surgery cases were observed and postoperative care and the cleaning of surgical instruments were investigated. OR air handling system records during the epidemic period were reviewed. Molecular fingerprinting of available<jats:italic>P. aeruginosa<\/jats:italic>isolates from infected patients and a healthcare worker was done.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700085684_abs5\"><jats:title>Results:<\/jats:title><jats:p>There were five<jats:italic>P. aeruginosa<\/jats:italic>cardiac surgical-site infections from January to August 2001, compared with no such infections from 1999 to 2000. All were adult patients. One cardiac surgeon with onychomycosis operated on all five cases. He did not routinely double glove. The involved fingernail grew<jats:italic>P. aeruginosa.<\/jats:italic>Three<jats:italic>P. aeruginosa<\/jats:italic>patient isolates were available for pulsed-field gel electrophoresis; two were identical to the isolate from the involved surgeon's onychomycotic nail. No environmental OR cultures grew<jats:italic>P. aeruginosa.<\/jats:italic>The surgeon's culture-positive nail was completely removed. There have been no<jats:italic>P. aeruginosa<\/jats:italic>surgical-site infections among cardiac surgery patients since this intervention.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700085684_abs6\"><jats:title>Conclusion:<\/jats:title><jats:p>At least two cases of a cluster of<jats:italic>P. aeruginosa<\/jats:italic>surgical-site infections resulted from colonization of a cardiac surgeon's onychomycotic nail.<\/jats:p><\/jats:sec>","DOI":"10.1086\/502125","type":"journal-article","created":{"date-parts":[[2006,3,15]],"date-time":"2006-03-15T21:59:00Z","timestamp":1142459940000},"page":"749-752","source":"Crossref","is-referenced-by-count":30,"title":["<i>Pseudomonas<\/i>Surgical-Site Infections Linked to a Healthcare Worker With Onychomycosis"],"prefix":"10.1017","volume":"24","author":[{"given":"Leonard A.","family":"Mermel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"McKay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Dempsey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Parenteau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700085684_ref009","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1992.01420020103014"},{"key":"S0195941700085684_ref019","doi-asserted-by":"publisher","DOI":"10.2307\/30141927"},{"key":"S0195941700085684_ref004","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/22.3.424"},{"key":"S0195941700085684_ref012","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200009073431004"},{"key":"S0195941700085684_ref005","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1979.03290360050027"},{"key":"S0195941700085684_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(97)01210-4"},{"key":"S0195941700085684_ref002","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00084-2"},{"key":"S0195941700085684_ref003","volume-title":"Program and Abstracts of the 41st Interscience Conference on Antimicrobial Agents and Chemotherapy (Chicago)","author":"Schmitt","year":"2001"},{"key":"S0195941700085684_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03690-1"},{"key":"S0195941700085684_ref008","doi-asserted-by":"crossref","first-page":"2233","DOI":"10.1128\/JCM.33.9.2233-2239.1995","article-title":"Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing","volume":"33","author":"Tenover","year":"1995","journal-title":"J Clin Microbiol"},{"key":"S0195941700085684_ref006","doi-asserted-by":"publisher","DOI":"10.1086\/321890"},{"key":"S0195941700085684_ref014","doi-asserted-by":"publisher","DOI":"10.1086\/318488"},{"key":"S0195941700085684_ref011","doi-asserted-by":"publisher","DOI":"10.1093\/clind\/16.3.372"},{"key":"S0195941700085684_ref016","first-page":"1","article-title":"Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC\/SHEA\/APIC\/IDSA Hand Hygiene Task Force","volume":"51","author":"Boyce","year":"2002","journal-title":"MMWR"},{"key":"S0195941700085684_ref013","first-page":"751","volume-title":"Dermatology","author":"Rodman","year":"1992"},{"key":"S0195941700085684_ref015","doi-asserted-by":"publisher","DOI":"10.1086\/501739"},{"key":"S0195941700085684_ref018","doi-asserted-by":"publisher","DOI":"10.1378\/chest.69.3.338"},{"key":"S0195941700085684_ref007","doi-asserted-by":"publisher","DOI":"10.2307\/30148420"},{"key":"S0195941700085684_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2092(07)66746-5"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0195941700085684","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T06:33:16Z","timestamp":1586759596000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0195941700085684\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,10]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2003,10]]}},"alternative-id":["S0195941700085684"],"URL":"https:\/\/doi.org\/10.1086\/502125","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,10]]}}}