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Outbreak of Joint Infections Associated with Magnetic Resonance Arthrograms Performed at an Outpatient Radiology Center

Part of: BARRY FARR AWARD RECIPIENTS

Published online by Cambridge University Press:  02 January 2015

Moon Kim ,
Clara Tyson  and
Laurene Mascola
Moon Kim*
Affiliation:
Acute Communicable Disease Control Program, Department of Public Health, County of Los Angeles, Los Angeles, California
Clara Tyson
Affiliation:
Acute Communicable Disease Control Program, Department of Public Health, County of Los Angeles, Los Angeles, California
Laurene Mascola
Affiliation:
Acute Communicable Disease Control Program, Department of Public Health, County of Los Angeles, Los Angeles, California
*
313 North Figueroa Street, #222, Los Angeles, CA 90012 ([email protected])
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Abstract

An outbreak of methicillin-susceptible Staphylococcus aureus joint infections occurred at an outpatient radiology center. We identified 7 case patients; all had undergone magnetic resonance arthrograms with intra-articular joint injections. The outbreak was likely due to unsafe injection practices in preparation of contrast solution for intra-articular injection.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 11 , November 2013 , pp. 1215 - 1217
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Newberg, AH, Munn, CS, Robbins, AH. Complications of arthrography. Radiology 1985;155:605–606.CrossRefGoogle ScholarPubMed
2.Saupe, N, Zanetti, M, Pfirrmann, CW, et al. Pain and other side effects after MR arthrography: prospective evaluation in 1085 patients. Radiology 2009;250:830–838.CrossRefGoogle ScholarPubMed
3.Green, KA, Mustachi, B, Schoer, K, et al. Gadolinium-based MR contrast media: potential for growth of microbial contaminants when single vials are used for multiple patients. Am J Roentgenol 1995; 165:669–671.CrossRefGoogle ScholarPubMed
4.Kamishima, T, Schweitzer, ME, Awaya, H, Abraham, D. Utilization of “used” vials: cost-effective technique for MR arthrography. J Magn Reson Imaging 2000;12:953–955.3.0.CO;2-H>CrossRefGoogle ScholarPubMed
5.Murray, RJ, Pearson, JC, Coombs, GW, et al. Outbreak of invasive methicillin-resistant Staphylococcus aureus infection associated with acupuncture and joint infection. Infect Control Hosp Epidemiol 2008;29:859–865.CrossRefGoogle Scholar
6.Radcliff, R, Meites, E, Brisco, J, et al. Severe methicillin-susceptible Staphylococcus aureus infections associated with epidural injections at an outpatient pain clinic. Am J Infect Control 2012;40: 144–149.CrossRefGoogle Scholar
7.Centers for Disease Control and Prevention. Invasive Staphylococcus aureus infection associated with pain injections and reuse of single-dose vials—Arizona and Delaware, 2012. Morb Mortal Wkly Rep 2012;60:501–504.Google Scholar
8.Chitnis, AS, Guh, AY, Benowitz, I, et al. Outbreak of bacterial meningitis among patients undergoing myelography at an outpatient radiology clinic. J Am Coll Radiol 2012;9:185–190.CrossRefGoogle ScholarPubMed
9.Centers for Disease Control and Prevention. Single-dose/single-use vial position and messages, http://www.cdc.gov/injectionsafety/PDF/CDC-SDV-Position05022012.pdf. Published May 2, 2012. Accessed May 2, 2013.Google Scholar
10.Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L; the Healthcare Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings http://www.cdc.gov/niosh/docket/archive/pdfs/NIOSH-219/0219-010107-siegel.pdf. Accessed May 6, 2013.Google Scholar