Pediatric Infection Control -- An Historical Perspective

  • Donald A. Goldmann


The recent publication of a history of the Children’s Hospital, Boston (1), coupled with the approach of my fifteenth anniversary as hospital epidemiologist at that venerable institution, has prompted me to search for lessons in the Hospital’s past, to critically examine the present situation, and to set priorities for the future.


Respiratory Syncytial Virus Infection Control Nosocomial Infection Respiratory Syncytial Virus Infection Scarlet Fever 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    C.A. Smith, Built better than they knew, in: “The Children’s Hospital of Boston,” Little, Brown and Co., Boston/Toronto (1983).Google Scholar
  2. 2.
    C.A. Smith, Built better than they knew, in: “The Children’s Hospital of Boston,” Little, Brown and Co., Boston/Toronto (1983), p. 10.Google Scholar
  3. 3.
    C.A. Smith, Built better than they knew, in: “The Children’s Hospital of Boston,” Little, Brown and Co., Boston/Toronto (1983), p. 10–11.Google Scholar
  4. 4.
    C.A. Smith, Built better than they knew, in: “The Children’s Hospital of Boston,” Little, Brown and Co., Boston/Toronto (1983), p. 147–148.Google Scholar
  5. 5.
    W.F. Wells, “Airborne Contagion and Air Hygiene,” Harvard University Press, Cambridge (1955).Google Scholar
  6. 6.
    C.F. McKhann, A. Steeger, and A.P. Long, Hospital infections. I. A survey of the problem, Amer J Dis Child. 55:579–599 (1938).Google Scholar
  7. 7.
    D.A. Goldmann and S.J. Breton, Group C streptococcal surgical wound infections transmitted by an anal-rectal and nasal carrier, Pediatrics. 61:235–237 (1978).Google Scholar
  8. 8.
    D.D. Richman, S.J. Breton, and D.A. Goldmann, Scarlet fever and group A streptococcal surgical wound infection traced to an anal carrier, J Pediatr. 90:387–390 (1977).PubMedCrossRefGoogle Scholar
  9. 9.
    J.M. Leclair, J.A. Zaia, M.J. Levin, R.G. Congdon, and D.A. Goldmann, Airborne transmission of chickenpox in a hospital, N Engl J Med. 302:450–453 (1980).PubMedCrossRefGoogle Scholar
  10. 10.
    Anonymous, Smallpox outbreak, WHO Weekly Epidemiol Rec. 45:249 (1970).Google Scholar
  11. 11.
    B.N. Doebbeling, M.A. Pfaller, A.K. Houston, and R.P. Wenzel, Removal of nosocomial pathogens from the contaminated glove: implications for glove reuse and handwashing, Ann Intern Med. 109:394–398 (1988).PubMedGoogle Scholar
  12. 12.
    D.A. Goldmann, Nosocomial infection control in the United States of America, J Hosp Infect. 8:116–128 (1986).PubMedCrossRefGoogle Scholar
  13. 13.
    C.B. Hall, R.G. Douglas, J.M. Geiman, and M.K. Messner, Nosocomial respiratory syncytial virus infections, N Engl J Med. 293:1343–1346 (1975).PubMedCrossRefGoogle Scholar
  14. 14.
    C.B. Hall, A.E. Kopelman, R.G. Douglas Jr, J.M. Geiman, and M.P. Meagher, Neonatal respiratory syncytial virus infection, N Engl J Med. 300:393–396 (1979).PubMedCrossRefGoogle Scholar
  15. 15.
    N.E. MacDonald, C.B. Hall, S.C. Suffin, C. Alexson, P.J. Harris, and J.A. Manning, Respiratory syncytial viral infection in infants with congenital heart disease, N Engl J. Med. 307:397–400 (1982).PubMedCrossRefGoogle Scholar
  16. 16.
    C.B. Hall, K.R. Powell, C.L. Gala, M.E. Menegus, S.E. Suffin, and H.J. Cohen, Respiratory syncytial virus infection in children with compromised immune function, N Engl J Med. 315:77–81 (1986).PubMedCrossRefGoogle Scholar
  17. 17.
    C.B. Hall and R. G Douglas Jr, Modes of transmission of respiratory syncytial virus, J Pediatr. 99:100–103 (1981).PubMedCrossRefGoogle Scholar
  18. 18.
    C.B. Hall and R.G. Douglas Jr, Nosocomial respiratory syncytial virus infections: Should gowns and masks be used?, Amer J Dis Child. 135:512–515 (1981).PubMedGoogle Scholar
  19. 19.
    D. Murphy, J.K. Todd, R.K. Chao, I. Orr, and K. McIntosh, The use of gowns and masks to control respiratory illness in pediatric hospital personnel, J Pediatr. 99:746–750 (1981).PubMedCrossRefGoogle Scholar
  20. 20.
    C.L. Gala, C.B. Hall, K.C. Schnabel, P.H. Pincus, P. Blossom, S.W. Hildreth, R.F. Betts, and R.G. Douglas Jr, The use of eye-nose goggles to control nosocomial respiratory syncytial virus infection, JAMA. 256:2706–2708 (1986).PubMedCrossRefGoogle Scholar
  21. 21.
    J.M. Leclair, J. Freeman, B.F. Sullivan, C.M. Crowley, and D.A. Goldmann, Prevention of nosocomial respiratory virus infections through compliance with glove and gown isolation precautions, N Engl J Med. 317:329–334 (1987).PubMedCrossRefGoogle Scholar
  22. 22.
    D.A. Goldmann, New microbiological techniques for hospital epidemiology, Eur J Clin Microbiol. 6:344–347 (1987).PubMedCrossRefGoogle Scholar
  23. 23.
    L.S. Tompkins, J.J. Plorde, and S. Falkow, Molecular analyses on R-factors from multiresistant nosocomial isolates, J Infect Dis. 141:625–636 (1980).PubMedCrossRefGoogle Scholar
  24. 24.
    F.C. Tenover, T.D. Gootz, K.P. Gordon, L.S. Tompkins, S.A. Young, and J.J. Plorde, Development of a DNA prove for the structural gene of the 2″-0-adenyltrans-ferase aminoglycoside-modifying enzyme, J Infect Dis. 50:678–687 (1984).CrossRefGoogle Scholar
  25. 25.
    T.F. O’Brien, K.H. Mayer, H. Kishi, M. Syvanen, and J.D. Hopkins, Intercontinental spread of a new antibiotic resistance gene on an epidemic plasmid, Lancet. 2:87–88 (1985).Google Scholar
  26. 26.
    N.G. Guerina, T.W. Kessler, V.J. Guerina, M.R. Neutra, H.W. Clegg, S. Langermann, F.A. Scannapieco, and D.A. Goldmann, The role of pili and capsule in the pathogenesis of neonatal infection with Escherichia coli K1 infection, J Infect Dis. 148:395–405 (1983).PubMedCrossRefGoogle Scholar
  27. 27.
    M. Tojo, N. Yamashita, P.A. Goldmann, and G.B. Pier, Isolation and characterization of a capsular polysac-charide/adhesin from Staphylococcus epidermidis, J Infect Dis. 157:713–722 (1988).PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • Donald A. Goldmann
    • 1
  1. 1.Infection Control Program, Department of MedicineThe Children’s Hospital, Harvard Medical SchoolBostonUSA

Personalised recommendations