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An Outbreak of Serratia marcescens Bloodstream Infections Associated With Misuse of Drug Vials in a Surgical Ward

Published online by Cambridge University Press:  21 June 2016

Angelo Pan ,
Lucia Dolcetti ,
Catia Barosi ,
Patrizia Catenazzi ,
Tomaso Ceruti ,
Lucio Ferrari ,
Silvia Magri ,
Eugenia Quiros Roldan ,
Laura Soavi  and
Giuseppe Carnevale
Angelo Pan*
Affiliation:
Divisione di Malattie Infettive, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy Istituto di Malattie Infettive e Tropicali, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Lucia Dolcetti
Affiliation:
Direzione Sanitaria, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Catia Barosi
Affiliation:
Servizio di Farmacia, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Patrizia Catenazzi
Affiliation:
Direzione Sanitaria, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Tomaso Ceruti
Affiliation:
Laboratorio di Microbiologia, Istituti Ospitalieri di Cremona, Cremona, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Lucio Ferrari
Affiliation:
Laboratorio di Microbiologia, Istituti Ospitalieri di Cremona, Cremona, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Silvia Magri
Affiliation:
Istituto di Malattie Infettive e Tropicali, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Eugenia Quiros Roldan
Affiliation:
Istituto di Malattie Infettive e Tropicali, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Laura Soavi
Affiliation:
Istituto di Malattie Infettive e Tropicali, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
Giuseppe Carnevale
Affiliation:
Divisione di Malattie Infettive, Spedali Civili, Università degli Studi di Brescia, Brescia, Italy
*
Istituto di Malattie Infettive e Tropicali, Spedali Civili- Universita degli Studi di Brescia, Piazzale Spedali Civili, 1, 20123 Brescia, Italy (ange.pan@tiscali.it)
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Abstract

We report an outbreak of Serratia marcescens bloodstream infection due to contamination of total parenteral nutrition solution by insulin or poligeline solution when single-use vials were used for multiple doses in a surgical ward. Four patients had severe sepsis, and no patient died. Multidose vials, used either correctly or incorrectly, may be associated with bloodstream infection.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 1 , January 2006 , pp. 79 - 82
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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