Enterobacter cloacae—contaminated cardioplegic solution
| Autor: | William E. Judd, George H. Talbot, Douglas E. Miller, Margaret Doorley, Mary Provencher, Maureen Skros, Raymond J. Coghlan |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Record keeping
medicine.medical_specialty biology Waste management Epidemiology business.industry Health Policy Public Health Environmental and Occupational Health Quality control Pharmacy Contamination biology.organism_classification law.invention Surgery Rapid identification Infectious Diseases law Infection control Medicine business Enterobacter cloacae Filtration |
| Zdroj: | American Journal of Infection Control. 12:239-244 |
| ISSN: | 0196-6553 |
| DOI: | 10.1016/0196-6553(84)90115-9 |
| Popis: | Our conclusions and recommendations are as follows: 1. 1. Pressurized cannisters used in the production or large-volume parenteral fluids may serve as a reservoir of bacterial contamination unless they are routinely disassembled, cleaned, and sterilized. 2. 2. Filtration cannot be assumed to ensure sterility, since filters may be defective. Microbiologic quality control measures are essential. 3. 3. Quality control procedures must be part of an established surveillance system for reporting of problems with large-volume solutions. Ideally, representatives of the pharmacy, the microbiology laboratory, and infection control should be involved. 4. 4. Quarantine of products awaiting microbiological clearance should be strictly enforced. 5. 5. Microbiologic quality control tests that reveal gram-negative rods must be viewed with concern and investigated appropriately. 6. 6. Record keeping should allow precise, rapid identification of the specific patients receiving a pharmacy-prepared product. 7. 7. The use of both positive and negative pressure to increase filtration rate conceiveably may produce a total pressure exceeding that recommended for the filter used. Therefore users of such filtration systems should periodically recalibrate pressure-monitoring gauges to ensure that excess pressure is not generated. |
| Databáze: | OpenAIRE |
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