Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-25T01:28:50.605Z Has data issue: false hasContentIssue false
  • English
  • Français

Bacterial Contamination of an Automated Pharmacy Robot Used for Intravenous Medication Preparation

Published online by Cambridge University Press:  02 January 2015

David Cluck ,
John C. Williamson ,
Marty Glasgo ,
Daniel Diekema  and
Robert Sherertz
David Cluck*
Affiliation:
Wake Forest Baptist Health, Winston-Salem, North Carolina
John C. Williamson
Affiliation:
Wake Forest Baptist Health, Winston-Salem, North Carolina
Marty Glasgo
Affiliation:
Wake Forest Baptist Health, Winston-Salem, North Carolina
Daniel Diekema
Affiliation:
Departments of Internal Medicine and Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa
Robert Sherertz
Affiliation:
Wake Forest Baptist Health, Winston-Salem, North Carolina
*
Bill Gatton College of Pharmacy, ETSU, Department of Pharmacy Practice, Box 70657, Johnson City, TN 37614 (cluckd@etsu.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

Multiple cultures were positive for Bacillus cereus during routine quality assurance testing of a pharmacy robot that prepares intravenous medications. An investigation confirmed bacterial contamination of the robot as well as drug product made by the robot. The process and outcomes of the investigation are described in this report.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 33 , Issue 5 , May 2012 , pp. 517 - 520
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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.US Food and Drug Administration. Triad Group Issues a Voluntary Nationwide Recall of All Lots of Alcohol Prep Pads, Alcohol Swabs, and Alcohol Swabsticks due to Potential Microbial Contamination. Silver Spring, MD: US Food and Drug Administration, January 5, 2011. http://www.fda.gov/safety/recalls/ucm239219.htm. Accessed August 15, 2011.Google Scholar
2.Dolan, SA, Dowell, E, Littlehorn, C, et al. Bacillus cereus Bacteremia Associated with Contaminated Alcohol Prep Pads: Outbreak Investigation Followed by International Product Recall. In: Program and abstracts of the Annual Scientific Meeting of the Society for Healthcare Epidemiology of America; April 1-4, 2011; Dallas, TX. Abstract LB 16.Google Scholar
3.Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:2233–2239.CrossRefGoogle ScholarPubMed
4.Sasahara, T, Hayashi, S, Morisawa, Y, Sakihama, T, Yoshimura, A, Hirai, Y. Bacillus cereus bacteremia outbreak due to contaminated hospital linens. Eur J Clin Microbiol Infect Dis 2011;30:219–226.CrossRefGoogle ScholarPubMed
5.Jeurissen, A, Weyers, L, Cossey, V, Muller, J, Schuermans, A. Dissemination of Bacillus cereus in the burn unit due to contaminated non-sterile gloves. J Hosp Infect 2010;76:92–93.CrossRefGoogle ScholarPubMed
6.Dohmae, S, Okubo, T, Higuchi, W, et al. Bacillus cereus nosocomial infection from reused towels in Japan. J Hosp Infect 2008;69: 361–367.CrossRefGoogle ScholarPubMed
7.Kalpoe, JS, Hogenbirk, K, van Maarseveen, NM, et al. Dissemination of Bacillus cereus in a paediatric intensive care unit traced to insufficient disinfection of reusable ventilator air-flow sensors. ; Hosp Infect 2008;68:341–347.CrossRefGoogle Scholar
8.Gray, J, George, RH, Durbin, GM, Ewer, AK, Hocking, MD, Morgan, ME. An outbreak of Bacillus cereus respiratory tract infections on a neonatal unit due to contaminated ventilator circuits. J Hosp Infect 1999;41:19–22.CrossRefGoogle ScholarPubMed
9.Thuler, LC, Velasco, E, de Souza Martins, CA, et al. An outbreak of Bacillus species in a cancer hospital. Infect Control Hosp Epidemiol 1998;19:856–858.CrossRefGoogle Scholar
10.Bryce, EA, Smith, JA, Tweeddale, M, Andruschak, BJ, Maxwell, MR. Dissemination of Bacillus cereus in an intensive care unit. Infect Control Hosp Epidemiol 1993;14:459–462.CrossRefGoogle Scholar
11.Hsueh, PR, Teng, LJ, Yang, PC, Pan, HL, Ho, SW, Luh, KT. Nosocomial pseudoepidemic caused by Bacillus cereus traced to contaminated ethyl alcohol from a liquor factory. J Clin Microbiol 1999;37:2280–2284.CrossRefGoogle ScholarPubMed