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Epidemiological Aspects of Neonatal Necrotizing Enterocolitis
Norman L. Virnig, MD;
John W. Reynolds, MD
Am J Dis Child. 1974;128(2):186-190.
Abstract
Detailed attempts to isolate pathogens were made during an apparent epidemic outbreak of neonatal necrotizing enterocolitis (NEC). In addition, all cases of infants with this disease since 1964 were reviewed for comparison with the present outbreak. Efforts were made to determine a transmissible cause. No bacteria, virus, or fungus common to the infants involved in the outbreak was isolated. Neither could any other transmissible cause be implicated. It appears that the organisms involved in NEC are normal bowel flora that enter the peritoneum and blood stream through an altered gut mucosa.
Author Affiliations
From the St. Paul Children's Hospital Newborn Center, and the Department of Pediatrics, University of Minnesota Medical School.
Footnotes
Received for publication Oct 1, 1973; accepted Feb 11, 1974.
Reprint requests to the Department of Pediatrics, St. Paul-Ramsey Hospital, 640 Jackson St, St. Paul, MN 55101 (Dr. Virnig).
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