Thuler L C, Velasco E, de Souza Martins C A, de Faria L M, da Fonseca N P, Dias L M, Gonçalves V M
Hospital Infection Control Committee, Hospital of Cancer, National Cancer Institute, Rio de Janeiro, Brazil.
Infect Control Hosp Epidemiol. 1998 Nov;19(11):856-8. doi: 10.1086/647746.
Bacillus species were recovered from the blood cultures of 39 oncology patients over 14 weeks. A matched case-control study showed a strong association of Bacillus species bacteremia with use of calcium gluconate solution (odds ratio=25.0) and of central venous lines (odds ratio=8.8). Stopping use of the implicated calcium gluconate vials controlled the outbreak.