title: An outbreak of Pseudomonas aeruginosa respiratory tract infections associated with intrinsically contaminated ultrasound transmission gel.
abstract: We describe an outbreak of Pseudomonas aeruginosa respiratory tract infections related to intrinsically contaminated ultrasound gel used for intraoperative transesophageal echocardiograms in cardiovascular surgery patients. This investigation led to a product safety alert by the Food and Drug Administration and the development of guidelines for appropriate use of ultrasound gel.
authors.affiliation: Department of Infectious Disease, Beaumont Health System, Royal Oak, Michigan 48073, USA. paul.chittick@beaumont.edu
authors.forename: Paul
authors.initials: P
authors.lastname: Chittick
authors.forename: Victoria
authors.initials: V
authors.lastname: Russo
authors.forename: Matthew
authors.initials: M
authors.lastname: Sims
authors.forename: Barbara
authors.initials: B
authors.lastname: Robinson-Dunn
authors.forename: Susan
authors.initials: S
authors.lastname: Oleszkowicz
authors.forename: Kara
authors.initials: K
authors.lastname: Sawarynski
authors.forename: Kimberly
authors.initials: K
authors.lastname: Powell
authors.forename: Jacob
authors.initials: J
authors.lastname: Makin
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Darnell
authors.forename: Judith A
authors.initials: JA
authors.lastname: Boura
authors.forename: Bobby
authors.initials: B
authors.lastname: Boyanton
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Band
mesh_terms: D004196:Disease Outbreaks; D017548:Echocardiography, Transesophageal / Q000009:adverse effects; D005782:Gels / Q000009:adverse effects*; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care / Q000009:adverse effects; D007902:Length of Stay; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology* / Q000382:microbiology; D011552:Pseudomonas Infections / Q000453:epidemiology* / Q000382:microbiology; D011550:Pseudomonas aeruginosa; D012141:Respiratory Tract Infections / Q000453:epidemiology* / Q000382:microbiology
chemical_list: D005782:Gels