Contamination of intravenous fluids: A continuing cause of hospital bacteremia
作者： Alejandro E. Macias , Martha Huertas , Samuel Ponce de Leon , Juan M. Munoz , Alma R. Chavez
DOI: 10.1016/J.AJIC.2009.08.015
关键词:
摘要: Background Nosocomial bacteremia caused by the contamination of intravenous (IV) infusates is considered rare. Unfortunately, this problem has been underestimated because its identification requires culturing infusates, a procedure not performed routinely. Methods This study was conducted in referral hospital where IV are admixed nursing areas. The aim to determine prevalence infusate adult patients with gram-negative rod (GNR) bacteremia. Over period 32 months, specimen drawn for culture from each patient recruited after laboratory reported GNR blood. Results A total 384 were cultured who had diagnosed Seven grew culture, rate 2% (7/384; 95% confidence interval [CI] = 1% 3%). In all cases, infectious organism same as isolated Infusate responsible 7% (7/108; CI = 2% 11%) primary bloodstream infections and 11% (7/62; CI=2% 22%) associated central venous catheter infection. Conclusions For hospitals drugs units, we recommend instituting routine practice following diagnosis
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