This study describes an outbreak of Burkholderia cenocepacia bacteremia in 4 hospitals across Australia between the dates of March 2017 and May 2017. Eleven patients were infected, predominately in intensive care units. A collaborative outbreak response team was formed to investigate sources of the contamination. Intravenous fluids were cultured and testing of multiple potential sources were performed. The source of the infection was traced back to contaminated sterile ultrasound gel sachets within kits used in central line insertion and sterile procedures.
This Clinical Publication Brief sheds light on the infection control risk gel can present when performing certain needle-guided interventions with ultrasound. A new 100% gel-free ultrasound probe cover, Envision, helps reduce the risk of contamination in needle-guided procedures.Download PDF
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