1.
MMWR Morb Mortal Wkly Rep
; 66(51-52): 1410, 2018 Jan 05.
Artigo
em Inglês
| MEDLINE
| ID: mdl-29300717
2.
Am J Infect Control
; 50(3): 342-344, 2022 03.
Artigo
em Inglês
| MEDLINE
| ID: mdl-34742748
RESUMO
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.