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Outbreak of Acinetobacter baumannii Bacteremia Related to Contaminated Morphine Used for Patient‐Controlled Analgesia

Hsin‐Chun Lee , MD, Nan‐Yao Lee , MD, Chia‐Ming Chang , MD, Cheng‐Yang Chou , MD, Yi‐Hui Wu , RN, MPH, Li‐Rong Wang , BS, Nai‐Ying Ko , RN, PhD, Ching‐Chuan Liu , MD, MPH and Wen‐Chien Ko , MD
Infection Control and Hospital Epidemiology
Vol. 28, No. 10 (October 2007), pp. 1213-1217
DOI: 10.1086/520741
Stable URL: http://www.jstor.org/stable/10.1086/520741
Page Count: 5
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Outbreak of Acinetobacter baumannii Bacteremia Related to Contaminated Morphine Used for Patient‐Controlled Analgesia
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Abstract

We investigated a cluster of postoperative febrile episodes and episodes of Acinetobacter baumannii bacteremia in obstetrics and gynecology wards after an electrical blackout and loss of the water supply. The use of patient‐controlled analgesia was the only independent risk factor associated with postoperative fever, and A. baumannii isolates recovered from the blood of patients who had received patient‐controlled analgesia were genetically related to an isolate recovered from the diluted morphine solution used for this procedure. After inappropriate preparation of the morphine solution was identified and stopped, the outbreak ended.

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