title: Notes from the Field: Fungal Bloodstream Infections Associated with a Compounded Intravenous Medication at an Outpatient Oncology Clinic - New York City, 2016.
abstract: On May 24, 2016, the New York City Department of Health and Mental Hygiene notified CDC of two cases of Exophiala dermatitidis bloodstream infections among patients with malignancies who had received care from a single physician at an outpatient oncology facility (clinic A). Review of January 1-May 31, 2016 microbiology records identified E. dermatitidis bloodstream infections in two additional patients who also had received care at clinic A. All four patients had implanted vascular access ports and had received intravenous (IV) medications, including a compounded IV flush solution containing saline, heparin, vancomycin, and ceftazidime, compounded and administered at clinic A.
authors.forename: Amber M
authors.initials: AM
authors.lastname: Vasquez
authors.forename: Jason
authors.initials: J
authors.lastname: Lake
authors.forename: Stephanie
authors.initials: S
authors.lastname: Ngai
authors.forename: Megan
authors.initials: M
authors.lastname: Halbrook
authors.forename: Snigdha
authors.initials: S
authors.lastname: Vallabhaneni
authors.forename: M Shannon
authors.initials: MS
authors.lastname: Keckler
authors.forename: Heather
authors.initials: H
authors.lastname: Moulton-Meissner
authors.forename: Shawn R
authors.initials: SR
authors.lastname: Lockhart
authors.forename: Christopher T
authors.initials: CT
authors.lastname: Lee
authors.forename: Kiran
authors.initials: K
authors.lastname: Perkins
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Perz
authors.forename: Mike
authors.initials: M
authors.lastname: Antwi
authors.forename: Miranda S
authors.initials: MS
authors.lastname: Moore
authors.forename: Jane
authors.initials: J
authors.lastname: Greenko
authors.forename: Eleanor
authors.initials: E
authors.lastname: Adams
authors.forename: Janet
authors.initials: J
authors.lastname: Haas
authors.forename: Sandra
authors.initials: S
authors.lastname: Elkind
authors.forename: Marjorie
authors.initials: M
authors.lastname: Berman
authors.forename: Dani
authors.initials: D
authors.lastname: Zavasky
authors.forename: Tom
authors.initials: T
authors.lastname: Chiller
authors.forename: Joel
authors.initials: J
authors.lastname: Ackelsberg
mesh_terms: D000554:Ambulatory Care Facilities; D002173:Cancer Care Facilities; D003428:Cross Infection / Q000209:etiology*; D004339:Drug Compounding; D004340:Drug Contamination; D016469:Fungemia / Q000209:etiology*; D006801:Humans; D007275:Injections, Intravenous / Q000009:adverse effects*; D009369:Neoplasms / Q000188:drug therapy*; D009519:New York City