Control of an outbreak of postoperative bone mucormycosis: An intervention study of contiguous cohorts

Am J Infect Control. 2016 Dec 1;44(12):1715-1717. doi: 10.1016/j.ajic.2016.06.017. Epub 2016 Aug 4.

Abstract

An outbreak of postoperative bone mucormycosis following arthroscopic anterior cruciate ligament reconstruction in a tertiary referral center in Paraná, Argentina, could have been transmitted through an arthroscopic anterior cruciate ligament reconstruction-exclusive contaminated item. The outbreak was controlled after changing from a system of direct delivery of implants and instruments to the operating room without proper verification, to a controlled and centralized process; specifically, the institution's pharmacy verified the quality and traceability of implants, and instruments were processed only by the institution's central sterile services department.

Keywords: Anterior cruciate ligament; Quality standards; Surgical site infection; Traceability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Argentina / epidemiology
  • Arthroscopy / adverse effects*
  • Cohort Studies
  • Disease Outbreaks*
  • Female
  • Humans
  • Infection Control / methods*
  • Ligaments, Articular / surgery
  • Male
  • Mucormycosis / epidemiology*
  • Mucormycosis / prevention & control
  • Osteomyelitis / epidemiology*
  • Osteomyelitis / prevention & control
  • Surgical Wound Infection / epidemiology*
  • Surgical Wound Infection / prevention & control