Latest News from CORHA

A Cluster of Gram-Negative Bloodstream Infections in Connecticut Hemodialysis Patients Associated with Contaminated Wall Boxes and Prime Buckets (American Journal of Infection Control)

In this article, a cluster of Delftia acidovorans infections among patients undergoing hemodialysis at an outpatient unit (Facility A) were investigated. The cluster of D. acidovorans infections was most likely due to indirect exposures to contaminated wall boxes and possibly saline prime buckets due to poor hand hygiene and station disinfection.
September 13, 2022 Read More

Burkholderia cepacia complex outbreak linked to a no-rinse cleansing foam product, United States – 2017–2018 (Infection Control & Hospital Epidemiology)

In March 2018, an investigation of an outbreak of Burkholderia cepacia complex (Bcc) infections was launched after sixty infections were identified in California, New Jersey, Pennsylvania, Maine, Nevada and Ohio. The infections were linked to a no-rinse cleansing foam product (NRCFP), produced by Manufacturer A, used for skin care of patients in healthcare settings.
September 1, 2022 Read More

Healthcare workers’ presenteeism causing an outbreak of respiratory infections in a facility for patients with severe motor and intellectual disabilities (American Journal of Infection Control)

This study aimed to identify the source of infection and medical costs for a respiratory infection outbreak in a facility for patients with severe motor and intellectual disabilities (SMID). The cause of this outbreak was healthcare workers’ presenteeism. To prevent outbreaks, such facilities should address the causative factors. Presenteeism refers to a situation wherein a person continues going to work despite being ill.
August 26, 2022 Read More

Development and deployment of tools for rapid response notification of Monkeypox exposure, exposure risk assessment and stratification, and symptom monitoring (Infection Control & Hospital Epidemiology)

This article describes experience with a REDCap (Research Electronic Data Capture) tool that was designed to help identify healthcare personnel with possible exposure to monkeypox, to perform exposure risk assessment and stratification for postexposure prophylaxis (PEP), and to conduct symptom monitoring during the exposure window. Enhancements included dashboards for HCP tracking and short message service (SMS text) reminders for symptom monitoring.
August 10, 2022 Read More

Stenotrophomonas maltophilia outbreak with a commercial blood gas injector as the culprit and interventions for source and prevention: a possible passage between patient and ECMO water heater device (American Journal of Infection Control)

This article describes an outbreak of Stenotrophomonas maltophilia involving over 100 patients infected in a tertiary hospital in Turkey. The authors concluded that a contaminated commercial needless blood gas injector was responsible for the outbreak and noted device safety concerns stemming from detection of S. maltophilia in extracorporeal membrane oxygenation (ECMO) water heater devices.
July 27, 2022 Read More

CDC Special Report: COVID-19’s Impact on Antimicrobial Resistance (CDC)

CDC released a new report finding that much of the progress made in the United States in previous years combating antimicrobial resistance (AR) was lost, in large part, due to the effects of the COVID-19 pandemic. This report concludes that the threat of antimicrobial-resistant infections is not only still present but has gotten worse—with resistant hospital-onset infections and deaths both increasing at least 15% during the first year of the pandemic.
July 20, 2022 Read More

Respiratory syncytial virus nosocomial outbreak in neonatal intensive care: A review of the incidence, management, and outcomes (American Journal of Infection Control)

This article determined the incidence, management, and outcomes of respiratory syncytial virus nosocomial infection (RSVNI) outbreaks in neonatal intensive care units. Outbreaks were principally managed by conventional protective measures, neonatal intensive care unit closure, and visitor restriction. Palivizumab was used to control RSVNI in 10 studies. The study concludes the use of palivizumab should be a multidisciplinary decision, based on rapidly spreading infection. Prospective studies are essential to determine the cost-benefit of palivizumab versus standard prevention control for an RSVNI outbreak.
July 13, 2022 Read More

Prolonged outbreak of clonal, mupirocin-resistant methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit: association with personnel and a possible environmental reservoir, analyzed using whole genome sequencing (American Journal of Infection Control)

This article describes an outbreak of mupirocin-resistant MRSA, molecular epidemiology of isolates and control. Medical record review of personnel contact with infants were used and MRSA isolates were analyzed by whole genome sequencing (WGS); and single nucleotide polymorphisms (SNPs) were identified. During a recrudescent MRSA outbreak due to a clonal strain, both contact with a colonized staff member and a putative environmental or personnel reservoir were associated with MRSA acquisition.
June 8, 2022 Read More

SARS-CoV-2 Outbreak Investigation in a Hospital Emergency Department — California, December 2020 – January 2021 (Cambridge)

This article describes a large SARS-CoV-2 outbreak involving an acute care hospital emergency department during December 2020 and January 2021, in which 27 healthcare personnel worked while infectious, resulting in multiple opportunities for SARS-CoV-2 transmission to patients and other healthcare personnel. Included in this article are recommendations for improving infection prevention and control.
June 1, 2022 Read More