A pseudo-outbreak of Burkholderia cepacia complex in a Kentucky hospital.
Am J Infect Control
; 50(3): 342-344, 2022 03.
Article
en En
| MEDLINE
| ID: mdl-34742748
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_surtos_doencas_emergencias
Asunto principal:
Infección Hospitalaria
/
Infecciones por Burkholderia
/
Complejo Burkholderia cepacia
Tipo de estudio:
Guideline
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Infect Control
Año:
2022
Tipo del documento:
Article