Life-Threatening Sepsis Caused by Burkholderia cepacia From Contaminated Intravenous Flush Solutions Prepared by a Compounding Pharmacy in Another State

Author:

Held Melissa R.1,Begier Elizabeth M.23,Beardsley Diana S.4,Browne Frederick A.5,Martinello Richard A.167,Baltimore Robert S.18,McDonald L. Clifford9,Jensen Bette9,Hadler James L.2,Dembry Louise-Marie78

Affiliation:

1. Department of Pediatrics, Division of Infectious Diseases

2. Infectious Disease Division, Connecticut Department of Public Health, Hartford, Connecticut

3. Epidemic Intelligence Service Program

4. Department of Pediatrics, Division of Hematology/Oncology

5. Department of Laboratory Medicine, Yale-New Haven Hospital, New Haven, Connecticut

6. Department of Internal Medicine and the Clinical Epidemiological Research Center, VA Connecticut Healthcare System, West Haven, Connecticut

7. Internal Medicine

8. Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut

9. Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia

Abstract

We report 2 life-threatening cases of Burkholderia cepacia sepsis caused by infusate contamination during compounding. Bacterial isolates from the patients' blood cultures and the infusate were indistinguishable by pulsed-field gel electrophoresis. Proper quality controls at a local and national level are important for ensuring safe delivery of compounded medications to patients in all settings, including those outside health care facilities.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference23 articles.

1. Young D. Outsourced compounding can be problematic: community pharmacies linked to contaminated injectable. Am J Health Syst Pharm. 2002;59:2261–2262, 2264

2. American Society of Health-System Pharmacists. ASHP guidelines on quality assurance for pharmacy-prepared sterile products. Am J Health Syst Pharm. 2000;57:150–169

3. Tenover FC, Arbeit RD, Goering RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol. 1995;33:2233–2239

4. Centers for Disease Control and Prevention. Manufacturer's recall of nasal spray contaminated with Burkholderia cepacia complex. MMWR Morb Mortal Wkly Rep. 2004;53:246

5. Centers for Disease Control and Prevention. Notice to readers: nosocomial Burkholderia cepacia infections associated with exposure to sublingual probes—Texas 2004. MMWR Morb Mortal Wkly Rep. 2004;53:796

Cited by 28 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3