Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-28T00:24:53.987Z Has data issue: false hasContentIssue false
  • English
  • Français

An Outbreak of Pseudomonas aeruginosa Respiratory Tract Infections Associated with Intrinsically Contaminated Ultrasound Transmission Gel

Published online by Cambridge University Press:  02 January 2015

Paul Chittick ,
Victoria Russo ,
Matthew Sims ,
Barbara Robinson-Dunn ,
Susan Oleszkowicz ,
Kara Sawarynski ,
Kimberly Powell ,
Jacob Makin ,
Elizabeth Darnell  and
Judith A. Boura
...Show all authors
Paul Chittick*
Affiliation:
Department of Infectious Disease, Beaumont Health System, Royal Oak, Michigan Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Rochester, Michigan
Victoria Russo
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan
Matthew Sims
Affiliation:
Department of Infectious Disease, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Rochester, Michigan
Barbara Robinson-Dunn
Affiliation:
Oakland University William Beaumont School of Medicine, Rochester, Michigan Department of Microbiology, Beaumont Health System, Royal Oak, Michigan
Susan Oleszkowicz
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan
Kara Sawarynski
Affiliation:
Department of Infectious Disease, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Rochester, Michigan
Kimberly Powell
Affiliation:
Department of Infectious Disease, Beaumont Health System, Royal Oak, Michigan
Jacob Makin
Affiliation:
Department of Microbiology, Beaumont Health System, Royal Oak, Michigan
Elizabeth Darnell
Affiliation:
Department of Microbiology, Beaumont Health System, Royal Oak, Michigan
Judith A. Boura
Affiliation:
Oakland University William Beaumont School of Medicine, Rochester, Michigan Department of Biostatistics, Beaumont Health System, Royal Oak, Michigan
Bobby Boyanton
Affiliation:
Oakland University William Beaumont School of Medicine, Rochester, Michigan Department of Microbiology, Beaumont Health System, Royal Oak, Michigan
Jeffrey Band
Affiliation:
Department of Infectious Disease, Beaumont Health System, Royal Oak, Michigan Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Rochester, Michigan
*
Department of Infectious Disease, Beaumont Health System, 3601 West 13 Mile Road, Royal Oak, MI 48073 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe an outbreak of Pseudomonas aeruginosa respiratory tract infections related to intrinsically contaminated ultrasound gel used for intraoperative transesophageal echocardiograms in cardiovascular surgery patients. This investigation led to a product safety alert by the Food and Drug Administration and the development of guidelines for appropriate use of ultrasound gel.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 8 , August 2013 , pp. 850 - 853
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Olshtain-Pops, K, Block, C, Temper, V, et al.An outbreak of Achromobacter xylosoxidans associated with ultrasound gel used during transrectal ultrasound guided prostate biopsy. J Urol 2011;185(1):144–147.CrossRefGoogle ScholarPubMed
2.Keizur, J, Lavin, B, Leidich, R. Iatrogenic urinary tract infection with Pseudomonas cepacia after transrectal ultrasound guided needle biopsy of the prostate. J Urol 1993;149(3):523–526.Google Scholar
3.Hutchinson, J, Runge, W, Mulvey, M, et al.Burkholderia cepacia infections associated with intrinsically contaminated ultrasound gel: the role of microbial degradation of parabens. Infect Control Hosp Epidemiol 2004;25(4):291–296.Google Scholar
4.Weist, K, Wendt, C, Petersen, L, Versmold, H, Ruden, H. An outbreak of pyodermas among neonates caused by ultrasound gel contaminated with methicillin-susceptible Staphylococcus aureus. Infect Control Hosp Epidemiol 2000;21(12):761–764.CrossRefGoogle ScholarPubMed
5.Gaillot, O, Maruejouls, C, Abachin, E, et al.Nosocomial outbreak of Klebsiella pneumoniae producing SHV-5 extended-spectrum β-lactamase, originating from a contaminated ultrasonography coupling gel. J Clin Microbiol 1998;36(5):1357–1360.Google Scholar
6.Jacobson, M, Wray, R, Kovach, D, Henry, D, Speert, D, Matlow, A. Sustained endemicity of Burkholderia cepacia complex in a pediatric institution, associated with contaminated ultrasound gel. Infect Control Hosp Epidemiol 2006;27(4):362–366.Google Scholar
7.Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infection in the acute care setting. Am J Infect Control 2008;36(5):309–332.CrossRefGoogle ScholarPubMed
8.Gilligan, P, Church, D. Lower respiratory tract cultures. In: Garcia, LS, ed. Clinical Microbiology Procedures Handbook. 3rd ed. Washington, DC: American Society for Microbiology, 2010: section 3.11.2Google Scholar
9.US Food and Drug Administration. FDA Safety Communication: update on bacteria found in Other-Sonic generic ultrasound transmission gel poses risk of infection. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm299409.htm. Accessed November 2, 2012.Google Scholar
10.Levy, P-Y, Teysseire, N, Etienne, J, Raoult, D. A nosocomial outbreak of Legionella pneumophila caused by contaminated transesophageal echocardiography probes. Infect Control Hosp Epidemiol 2003;24(8):619–622.Google Scholar
11.Kanemitsu, K, Endo, S, Oda, K, et al.An increased incidence of Enterobacter cloacae in a cardiovascular ward. J Hosp Infect 2007; 66(2):130–134.Google Scholar
12.US Food and Drug Administration. Inspections, compliance, enforcement, and criminal investigations: Pharmaceutical Innovations, Inc. 7/29/11. http://www.fda.gov/ICECI /EnforcementActions/WarningLetters/ucm270263.htm. Updated September 6, 2011. Accessed May 4, 2012.Google Scholar
13.Health Canada. Notice to hospitals: important safety information on ultrasound and medical gels. 2004 October 20. http://www.canadiensensante.gc.ca/recall-alert-rappel-a-ns/hc-sc/2004/14289a-eng.php. Accessed March 16, 2012.Google Scholar
14.Oleszkowicz, SC, Chittick, P, Russo, V, Keller, P, Sims, M, Band, J. Infections associated with the use of ultrasound transmission gel: proposed guidelines to minimize risk. Infect Control Hosp Epidemiol 2012;33(12):1235–1237.Google Scholar