Serratia marcescens bacteremia because of contaminated prefilled heparin and saline syringes: a multi-state report

Roy F Chemaly1, Dhanesh B Rathod, Monica K Sikka

  • 1University of Texas M. D. Anderson Cancer Center, Houston, TX 77030-4009, USA. rfchemaly@mdanderson.org

Insights

A national outbreak of contaminated heparin and saline syringes caused Serratia marcescens bacteremia. This study evaluated 57 patients, finding most were symptomatic and required antibiotic treatment, with one fatality.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Healthcare Quality

Background:

  • A national outbreak of Serratia marcescens bacteremia was linked to contaminated prefilled heparin and saline syringes.
  • The contaminated products necessitated a widespread recall, impacting multiple healthcare facilities.

Purpose of the Study:

  • To evaluate the clinical impact and patient outcomes associated with the Serratia marcescens bacteremia outbreak.
  • To assess the severity and management of infections stemming from contaminated medical supplies.

Main Methods:

  • Retrospective analysis of 57 patients diagnosed with Serratia marcescens bacteremia across three medical centers.
  • Review of clinical data, including patient symptoms, treatment regimens (intravenous antibiotics), and outcomes.

Main Results:

  • All 57 evaluated patients presented with symptoms of bacteremia.
  • The majority of patients received intravenous antibiotic therapy for their infection.
  • One patient experienced a fatal outcome attributed to the infection.

Conclusions:

  • Contaminated prefilled syringes pose a significant risk for healthcare-associated infections.
  • Prompt identification and management are crucial for patients with Serratia marcescens bacteremia.
  • Outbreaks linked to medical devices highlight the importance of stringent quality control in manufacturing.

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