Multicenter Outbreak of Gram-Negative Bloodstream Infections in Hemodialysis Patients.

ABSTRACT:

Rationale & objective

Contaminated water and other fluids are increasingly recognized to be associated with health care-associated infections. We investigated an outbreak of Gram-negative bloodstream infections at 3 outpatient hemodialysis facilities.

Study design

Matched case-control investigations.

Setting & participants

Patients who received hemodialysis at Facility A, B, or C from July 2015 to November 2016.

Exposures

Infection control practices, sources of water, dialyzer reuse, injection medication handling, dialysis circuit priming, water and dialysate test findings, environmental reservoirs such as wall boxes, vascular access care practices, pulsed-field gel electrophoresis, and whole-genome sequencing of bacterial isolates.

Outcomes

Cases were d

SUBMITTER: Novosad SA 

PROVIDER: S-EPMC10826890 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature