title: Investigation of an outbreak of central venous catheter-associated bloodstream infection due to contaminated water.
abstract: An outbreak of central venous catheter-associated bloodstream infections was reported in a hospital in Ecuador. Commercially produced ampoules of water for injection were found to be contaminated with Burkholderia cepacia and Myroides odoratus. Removal of these ampoules yielded a 10-fold reduction in the incidence of catheter-associated infection.
authors.affiliation: Department of Infectious Diseases, Hospital Vozandes-Quito, Quito, Ecuador. rdouce@hcjb.org.ec
authors.forename: Richard W
authors.initials: RW
authors.lastname: Douce
authors.forename: Jeannete
authors.initials: J
authors.lastname: Zurita
authors.forename: Olga
authors.initials: O
authors.lastname: Sanchez
authors.forename: Paul
authors.initials: P
authors.lastname: Cardenas Aldaz
mesh_terms: D016470:Bacteremia / Q000453:epidemiology / Q000209:etiology*; D019121:Burkholderia Infections / Q000453:epidemiology / Q000209:etiology* / Q000635:transmission; D016956:Burkholderia cepacia / Q000302:isolation & purification*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000382:microbiology*; D004196:Disease Outbreaks; D004484:Ecuador / Q000453:epidemiology; D004866:Equipment Contamination; D041965:Flavobacteriaceae / Q000302:isolation & purification; D045826:Flavobacteriaceae Infections / Q000453:epidemiology / Q000382:microbiology; D006784:Hospitals, Teaching; D006801:Humans; D015994:Incidence; D012189:Retrospective Studies; D014871:Water Microbiology