Navigation Links
Illnesses in Colorado children's hospital prompts discovery of contaminated alcohol pads
Date:6/12/2012

CHICAGO (June 12, 2012) A small cluster of unusual illnesses at a Colorado children's hospital prompted an investigation that swiftly identified alcohol prep pads contaminated with Bacillus cereus bacteria, according to a report in the July issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America. The investigation ultimately led to an international recall of the contaminated products.

"At Children's Hospital Colorado, three patients in the fall of 2010 were seriously ill and had positive cultures of an unusual nature, in this case, cultures associated with Bacillus cereus," said Susan Dolan, RN, MS, CIC, a certified infection control nurse and one of the investigators.

A spore-forming, gram-positive bacteria, Bacillus cereus are historically known to cause food poisoning, but can also cause more serious infections, especially in people with weakened immune systems. The bacteria are capable of surviving in alcohol solutions.

The illnesses prompted an immediate investigation by the hospital's infection prevention and control team and microbiology laboratory. The investigators focused on time, place, persons, procedures, equipment, and products that may have been common to each case. They found three products with which each patient had contact: a solution and device used to disinfect the skin before invasive procedures, a saline solution used to flush intravenous (IV) catheters, and alcohol prep pads that have a variety of uses in healthcare such as disinfecting the cap on an IV catheter.

Within days, lab tests showed B. cereus and other Bacillus species growing from the prep pads, prompting an immediate recall of the product throughout the pediatric healthcare system. The investigators notified the Colorado Department of Public Health and Environment and the Food and Drug Administration of their findings. Both agencies confirmed that the prep pads were contaminated with Bacillus on the outside and inside of the package. The investigation ultimately led to an international recall of the contaminated wipes and the eventual discontinuation of the brand identified in the case.

"Alcohol prep pads are among one of the most widely used products in healthcare, but are not always sterile products," Dolan said. "Many healthcare facilities were using these pads but were not aware they were non-sterile because they were not labeled as such."

As a result of the investigation, Children's Hospital Colorado now uses only prep pads explicitly labeled as sterile. The researchers suggest regulations requiring clear labeling on such products.


'/>"/>

Contact: Tamara Moore
tmoore@gymr.com
202-745-5114
Society for Healthcare Epidemiology of America
Source:Eurekalert

Related medicine news :

1. 3-center study identifies main causes of unprofessional behavior among hospitalists
2. Noisy Wards Could Threaten Hospital Patients Health
3. Under pressure from Medicare, hospitals hold more seniors for observation
4. Many Suffer Leg, Lung Clots While Hospitalized: CDC
5. Analysis will examine safety of in-hospital underwater births
6. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
7. Urban Hospitals May Act as Breeding Ground for MRSA
8. Ben-Gurion U. and Cincinnati Childrens Hospital to develop pediatric-specific medical technologies
9. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
10. Higher hospital volume more important than surgeon experience in outcome of prostate cancer surgery
11. Inhaled Steroids Lead to Big Drop in Asthma Deaths at Texas Hospital: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2016)... — , ... (PRWEB) ... of three new members of its Advisory Board. Joining the ... Sarah Kusch. “All three of them embody the mission of our ... are very fortunate to have them as we continue to expand ...
(Date:5/24/2016)... New York, NY (PRWEB) , ... May 24, ... ... of rehabilitative treatment for physical disease or injury that focuses on repairing the ... surgery. , With an emphasis on functional restoration, NYDNRehab began providing treatments ...
(Date:5/24/2016)... ... May 24, 2016 , ... Backed by ... logger for each job, ensuring the best suited solution to meet regulatory requirements. ... loggers at their lab in Istanbul. , Metroloji Okulu specializes in MadgeTech’s line ...
(Date:5/24/2016)... ... May 24, 2016 , ... Eggsurance, the first independent, non-clinic ... its community and education hub for women considering fertility preservation, as well as ... safe and welcoming place for women to find cycle buddies, get clinic recommendations ...
(Date:5/24/2016)... Mateo, CA (PRWEB) , ... May 24, 2016 ... ... dedicated to advancing the science and clinical practice of radiosurgery, is recognizing five ... of stereotactic radiosurgery (SRS) and stereotactic body radiotherapy (SBRT). The awards will be ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... May 24, 2016 ... , la première endoprothèse à double ... à l,intervention portant sur les membres inférieurs ... OrbusNeich, entreprise mondiale spécialisée dans la ... la vie, a élargi son portefeuille pour ...
(Date:5/24/2016)... -- Dutch surgeons have launched a ground-breaking medical app ... treat patients on a global scale. Medical professionals from ... and the US have already signed up for the ... a totally secure environment. Education  "Imagine a ... with a surgeon at Harvard to treat a bomb victim via ...
(Date:5/23/2016)... 23, 2016 According to ... Market by Product (Wheelchair, Scooters, Medical Beds, Bathroom ... Critical Care, Wound), Accessories (Lifting, Transfer) & by ... published by MarketsandMarkets, the patient handling equipment market ... 2021 at a CAGR of 10.5% during the ...
Breaking Medicine Technology: