Literature DB >> 34742748

A pseudo-outbreak of Burkholderia cepacia complex in a Kentucky hospital.

Chad C Eldridge1, Andrea H Flinchum2, Doug Thoroughman3, Kevin B Spicer4.   

Abstract

A cluster of Burkholderia cepacia complex cases from January to October 2020 among outpatients undergoing urologic procedures within a Kentucky hospital's operating rooms was investigated. This investigation included a laboratory look-back, chart reviews, exposure tracing, staff interviews, and direct observation of infection prevention and control practices. A significant protocol breach in a laboratory procedure led to contamination of surgical specimens submitted for culture with nonsterile saline. Pseudo-outbreaks often highlight gaps in infection control processes. Healthcare facilities can make substantial improvements in patient care quality and safety as they respond to identified gaps and improve systems and protocols.
Copyright © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

Entities:  

Keywords:  Culture of safety; Infection prevention and control; Investigation; Laboratory; Policy and procedure; Surgical specimen

Mesh：

Year:  2021        PMID： 34742748      PMCID： PMC8924913          DOI： 10.1016/j.ajic.2021.10.028

Source DB:  PubMed          Journal:  Am J Infect Control        ISSN： 0196-6553            Impact factor:   2.918


  4 in total

1.  Life-threatening sepsis caused by Burkholderia cepacia from contaminated intravenous flush solutions prepared by a compounding pharmacy in another state.

Authors:  Melissa R Held; Elizabeth M Begier; Diana S Beardsley; Frederick A Browne; Richard A Martinello; Robert S Baltimore; L Clifford McDonald; Bette Jensen; James L Hadler; Louise-Marie Dembry
Journal:  Pediatrics       Date:  2006-06-19       Impact factor: 7.124

2.  Multistate Outbreak of Burkholderia cepacia Complex Bloodstream Infections After Exposure to Contaminated Saline Flush Syringes: United States, 2016-2017.

Authors:  Richard B Brooks; Patrick K Mitchell; Jeffrey R Miller; Amber M Vasquez; Jessica Havlicek; Hannah Lee; Monica Quinn; Eleanor Adams; Deborah Baker; Rebecca Greeley; Kathleen Ross; Irini Daskalaki; Judy Walrath; Heather Moulton-Meissner; Matthew B Crist
Journal:  Clin Infect Dis       Date:  2019-07-18       Impact factor: 9.079

3.  Adaptation and Survival of Burkholderia cepacia and B. contaminans During Long-Term Incubation in Saline Solutions Containing Benzalkonium Chloride.

Authors:  Mariana Tavares; Mariya Kozak; Alexandra Balola; Carla P Coutinho; Cláudia P Godinho; A Amir Hassan; Vaughn S Cooper; Isabel Sá-Correia
Journal:  Front Bioeng Biotechnol       Date:  2020-06-26

4.  Systematic review of healthcare-associated Burkholderia cepacia complex outbreaks: presentation, causes and outbreak control.

Authors:  Emmanuel Häfliger; Andrew Atkinson; Jonas Marschall
Journal:  Infect Prev Pract       Date:  2020-08-13
  4 in total

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