Contaminated water reservoirs can be a source of Coxsackie B4 outbreaks in neonatal units, which can be resolved by cleaning the water tanks.
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Cleaning contaminated water tanks may resolve neonatal Coxsackie B4 outbreaks; hypothesis-generating from single case report and needs prospective confirmation.
We investigated an outbreak of Coxsackie B4 arthritis in a neonatal unit involving 20 neonates and 12 staff members, over an eight-month period. Laboratory investigations, serology tests, indicate that the outbreak was caused by Coxsackie B4 virus. Contamination of one of the overhead water reservoirs, supplying the nursery, was responsible. After the water tanks were cleaned out, no new cases were reported over five years.
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Bhambhani et al. (2007) studied this question.
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