Pseudomonas septicemia due to deficient disinfectant mixing during reuse

Vanholder, R; Vanhaecke, E; Ringoir, S

HERO ID

1578826

Reference Type

Journal Article

Year

1992

Language

English

PMID

1551723

HERO ID 1578826
In Press No
Year 1992
Title Pseudomonas septicemia due to deficient disinfectant mixing during reuse
Authors Vanholder, R; Vanhaecke, E; Ringoir, S
Journal International Journal of Artificial Organs
Volume 15
Issue 1
Page Numbers 19-24
Abstract We describe a cluster of four septicemias with pseudomonas, that occurred in a unit performing formaldehyde reuse of capillary dialyzers. Samples of blood, heparin solutions, dialysate and effluent of reused dialyzers, were evaluated bacteriologically and upon the adequacy of the reuse procedure. Pseudomonas aeruginosa, vesicularis and/or xanthomonas maltophilia were found on the blood cultures obtained during the septicemic reactions, and in the effluent of two reprocessed dialyzers not yet used (greater than 10(4) CFU/ml). These two dialyzers had also extremely low formaldehyde concentrations (0.0014 and 0.005% versus the expected 4%). Membrane and antibiogram characteristics of a Pseudomonas aeruginosa strain, recovered from the blood cultures in one patient, and of a strain found in the effluent of one of the two contaminated reprocessed dialyzers, were the same. The problem was attributed to the inadequate mixing of the disinfectant with the tap water used in the automated reprocessing device, in the absence of an alarm disclosing this failure.
Pmid 1551723
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English