Achromobacter spp. bacteremia outbreak related to contaminated furosemide ampoules

Rajalakshmi Arjun; Kalpana E John; Vettakkara Kandy Muhammed Niyas; Sreerekha R Nair; Viji Mohan; Raveendran Sarala Ratheesh

doi:10.53854/liim-2903-14

Achromobacter spp. bacteremia outbreak related to contaminated furosemide ampoules

Infez Med. 2021 Sep 10;29(3):427-433. doi: 10.53854/liim-2903-14. eCollection 2021.

Authors

Rajalakshmi Arjun¹, Kalpana E John², Vettakkara Kandy Muhammed Niyas¹, Sreerekha R Nair³, Viji Mohan², Raveendran Sarala Ratheesh²

Affiliations

¹ Department of Infectious Diseases, KIMSHEALTH, Thiruvananthapuram, Kerala, India.
² Department of Microbiology, KIMSHEALTH, Thiruvananthapuram, Kerala, India.
³ Department of Hospital Infection Control, KIMSHEALTH, Thiruvananthapuram, Kerala, India.

Abstract

Nosocomial outbreaks related to medication contamination are reported world-wide. A sudden increase in cases of Achromobacter spp. bacteremia led to an outbreak investigation in our setting. Line listing and environmental sampling led to identification of contaminated furosemide ampoules as the source. Molecular identification helped in species identification and in this outbreak more than one species was identified. Prompt withdrawal of the contaminated batch of ampoules curtailed the outbreak.

Keywords: Achromobacter; bacteremia; medication contamination; nosocomial infections; outbreak.