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Case ReportOpen Access
A Case of Nosocomial Cholera during a Community Outbreak in a Thai-Myanmar Border Area
Swaddiwudhipong W 
,
Peanumlom P
,
Peanumlom P The present study presents a case of nosocomial cholera in one general hospital located in a Thai-Myanmar border
area. Between May and October 2007, a community outbreak of cholera with 477 cases took place in Mae Sot District, Tak
Province. A 71-year-old diabetic female who had undergone craniotomy following intracerebral hemorrhage contracted
nosocomial cholera with mild diarrhea on August 6, 2007, 37 days after admission in a female ward of the Mae Sot hospital.
She received a nasogastric tube-fed diet four times a day. The investigation suggested that the tube-fed diet might have been
contaminated with V. cholerae O1 directly from an infected caretaker. This caretaker was culture-positive for cholera of the
same biotype, serotype, and antibiograms. The present report indicates that during a community outbreak of cholera,
nosocomial infection can occur in the hospital. Thus, a program of nosocomial infection control is essential in the hospital.
Keywords: Cholera, Nosocomial infection, Tube-fed diet
area. Between May and October 2007, a community outbreak of cholera with 477 cases took place in Mae Sot District, Tak
Province. A 71-year-old diabetic female who had undergone craniotomy following intracerebral hemorrhage contracted
nosocomial cholera with mild diarrhea on August 6, 2007, 37 days after admission in a female ward of the Mae Sot hospital.
She received a nasogastric tube-fed diet four times a day. The investigation suggested that the tube-fed diet might have been
contaminated with V. cholerae O1 directly from an infected caretaker. This caretaker was culture-positive for cholera of the
same biotype, serotype, and antibiograms. The present report indicates that during a community outbreak of cholera,
nosocomial infection can occur in the hospital. Thus, a program of nosocomial infection control is essential in the hospital.
Keywords: Cholera, Nosocomial infection, Tube-fed diet
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