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芽孢杆菌属假菌血症追溯至采集获得性免疫缺陷综合征患者血液时使用的受污染手套。

Bacillus species pseudobacteremia traced to contaminated gloves used in collection of blood from patients with acquired immunodeficiency syndrome.

作者信息

York M K

机构信息

Department of Laboratory Medicine, University of California, San Francisco 94143.

出版信息

J Clin Microbiol. 1990 Sep;28(9):2114-6. doi: 10.1128/jcm.28.9.2114-2116.1990.

Abstract

Ten nonpathogenic Bacillus isolates were obtained from blood cultures collected over a 2-year period. Eight of these isolates were from patient with acquired immunodeficiency syndrome, and seven were recovered from blood cultures obtained in outpatient clinics. Five cases occurred during a 5-month period. These five cases were clinically evaluated, and the Bacillus isolates were characterized. The same Bacillus species was isolated from nonsterile gloves from the same lot worn by phlebotomists for blood collection in the outpatient clinics during this period, implicating the gloves as the cause of this pseudoepidemic. Awareness of the nonsterile nature of gloves used by laboratory personnel should be considered in the evaluation of Bacillus spp. in blood cultures.

摘要

在两年时间内收集的血培养物中获得了10株非致病性芽孢杆菌分离株。其中8株分离株来自获得性免疫缺陷综合征患者,7株从门诊获得的血培养物中分离得到。5例发生在5个月内。对这5例进行了临床评估,并对芽孢杆菌分离株进行了鉴定。在此期间,从门诊采血的采血员佩戴的同一批次的非无菌手套中分离出相同的芽孢杆菌种,表明手套是此次假流行的原因。在评估血培养中的芽孢杆菌属时,应考虑实验室人员使用的手套不无菌这一情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/268115/1473b0d22297/jcm00057-0253-a.jpg

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