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Indoor and Built Environment, Vol. 15, No. 1,
111-114 (2006)
DOI: 10.1177/1420326X06062520
Causes and Control Measures in Hospital Outbreaks of Epidemic Keratoconjunctivitis
Mária  tefkovi ovaa
Department of Epidemiology, State Health Institute, Trenc .in, Slovakia
Veronika Vicianova
Department of Newborn Children, Hospital in Trenc .in, Slovakia
Jan Sokolik
Department of Ophthamology, Hospital in Trenc .in, Slovakia
Rastislav Madar
Department of Epidemiology, Jessenius Faculty of Medicine in Martin, Slovakia
There are a number of risk factors in the indoor hospital environment that facilitate the transmission of nosocomial infections. The authors present two hospital outbreaks of epidemic keratoconjunctivitis (EKC) at the Department of Ophthalmology (30 cases) and at the Department of Premature Newborns (22 cases) that were caused by improper selection of disinfectants for ophthalmological tools and incorrect hand-disinfection. In both outbreaks, EKC was diagnosed in inpatients (16 and six, respectively), outpatients (five and three, respectively), health-care workers (three and five, respectively), and relatives of EKC patients (six and eight, respectively). Implementation of infection control measures including isolation precautions, improved disinfection by 2% glutaraldehyde and hand-washing of both hospital and outpatient department personnel led to a significant decrease of the rate of infection.
Key Words: Epidemic keratoconjunctivitis • Hospital outbreak • Control measures
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