Clostridium spp., including scindens, sporogenes
Morphology |
Gram-positive, spore-forming bacteria. Vegetative cells are rod shaped and arranged
in pairs or short chains. Several species produce toxins.
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Disease |
Clostridial bacteremia, clostridial myonecrosis, necrotizing enterocolitis (NEC), toxic shock syndrome. |
Zoonosis |
None.
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Host Range |
Gastrointestinal tract of vertebrates and invertebrates.
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Modes of Transmission |
Contamination of wound sites and breaches in gastrointestinal tract.
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Signs and Symptoms |
Symptoms can vary greatly but will typically include fever, chills, and leukocytosis,
NEC: ischemic necrosis of the intestinal mucosa.
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Infectious Dose | Unknown. |
Incubation Period |
6 hours to 3 days for clostridial myonecrosis.
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Prophylaxis | Cleaning any wound sites with an antiseptic; antibiotic may be prescribed. |
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Vaccines | None. |
Treatment |
Antibiotic treatment and surgical removal of infected tissue.
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Surveillance | Monitor for symptoms. |
MSU Requirements | Report any exposures |
Laboratory Acquired Infections (LAIs) | At least six cases of laboratory-acquired infections with Clostridium spp. have been reported.
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Sources |
Blood, feces, or biopsy and/or wound samples, cultures, frozen stocks, other samples
described in IBC protocol.
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BMBL:
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https://www.cdc.gov/labs/BMBL.html |
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Canada PSDS:
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NIH Guidelines:
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Risk Group 2
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Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available. |
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BSL2
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For all procedures involving suspected or known infectious specimen or cultures.
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ABSL2
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For all procedures involving infected animals
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Small
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Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
of contact time. After 20 minutes, cleanup and dispose of materials.
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Large
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Mucous membrane
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Flush eyes, mouth, or nose for 5 minutes at eyewash station.
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Other Exposures
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Wash area with soap and water for 5 minutes.
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Reporting |
Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management.
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Medical Follow-up
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During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm. Weekends 9am-5pm
After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT |
Disinfection |
2% aqueous glutaraldehyde within 3 hours, 8% formaldehyde, 20 ppm sodium hypochlorite.
Clostridium spores are resistant to ethyl and propyl alcohols.
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Inactivation |
Inactivated by moist heat (60 minutes at 121oC) and dry heat (1 hour at 160-170oC).
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Survival Outside Host |
Clostridium spp. are able to form resistant endospores which are ubiquitous in the environment.
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Minimum PPE Requirements
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Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants
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Additional Precautions
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Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. |