Contrast-Linked Pseudomonas Outbreak in a Cardiac Catheterization Laboratory: Case Series and Quality-Improvement Response.

ABSTRACT:

Background

Infection control breaches in cardiac catheterization laboratories are rare but may lead to severe consequences. Despite being a high-volume center and an award-winning participant in the national cardiovascular data registry Chest Pain MI registry, Tabba Heart Institute experienced a cluster of Pseudomonas aeruginosa infections after coronary procedures.

Project rationale

The outbreak posed significant risks to patient safety and institutional benchmarks, prompting an urgent investigation.

Project summary

Between December 2024 and January 2025, 5 patients developed postprocedural complications, 3 of whom had culture-proven P. aeruginosa bloodstream infections, including one fatality. A multidisciplinary team initiated a root cause analysis. Initial infecti

SUBMITTER: Bugti A 

PROVIDER: S-EPMC12676171 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature