PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Outbreak of Septic Arthritis Associated with Intra-Articular Injections at an Outpatient Practice - New Jersey, 2017.

Abstract On March 6, 2017, the New Jersey Department of Health (NJDOH) was notified of three cases of septic arthritis in patients who had received intra-articular injections for osteoarthritic knee pain at a private outpatient practice. The practice voluntarily closed the next day. NJDOH, in conjunction with the local health department and the New Jersey Board of Medical Examiners, conducted an investigation and identified 41 cases of septic arthritis associated with intra-articular injections administered during 250 patient visits at the same practice, including 30 (73%) patients who required surgery. Bacterial cultures of synovial fluid or tissue from 15 (37%) patients were positive; all recovered organisms were oral flora. An infection prevention assessment of the practice identified multiple breaches of recommended infection prevention practices, including inadequate hand hygiene, inappropriate use of pharmacy bulk packaged (PBP) products as multiple-dose containers and handling PBP products outside of required pharmacy conditions, and preparation of syringes up to 4 days in advance of their intended use. No additional septic arthritis cases were identified after infection prevention recommendations were implemented within the practice.
PMID
Related Publications

Methods and Variables Associated with the Risk of Septic Arthritis Following Intra-Articular Injections in Horses: A Survey of Veterinarians.

Hepatitis B outbreak associated with a hematology-oncology office practice in New Jersey, 2009.

Utilization of Hyaluronate and Incidence of Septic Knee Arthritis in Adults: Results from the Korean National Claim Registry.

Septic arthritis of the knee following intraarticular injections in elderly patients: report of six patients.

Septic arthritis following intra-articular steroid injection of the knee--a survey of current practice regarding antiseptic technique used during intra-articular steroid injection of the knee.

Authors

Mayor MeshTerms

Ambulatory Care Facilities

Disease Outbreaks

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 28749922
OWN - NLM
STAT- MEDLINE
DA  - 20170727
DCOM- 20170731
LR  - 20170731
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 29
DP  - 2017 Jul 28
TI  - Outbreak of Septic Arthritis Associated with Intra-Articular Injections at an
      Outpatient Practice - New Jersey, 2017.
PG  - 777-779
LID - 10.15585/mmwr.mm6629a3 [doi]
AB  - On March 6, 2017, the New Jersey Department of Health (NJDOH) was notified of
      three cases of septic arthritis in patients who had received intra-articular
      injections for osteoarthritic knee pain at a private outpatient practice. The
      practice voluntarily closed the next day. NJDOH, in conjunction with the local
      health department and the New Jersey Board of Medical Examiners, conducted an
      investigation and identified 41 cases of septic arthritis associated with
      intra-articular injections administered during 250 patient visits at the same
      practice, including 30 (73%) patients who required surgery. Bacterial cultures of
      synovial fluid or tissue from 15 (37%) patients were positive; all recovered
      organisms were oral flora. An infection prevention assessment of the practice
      identified multiple breaches of recommended infection prevention practices,
      including inadequate hand hygiene, inappropriate use of pharmacy bulk packaged
      (PBP) products as multiple-dose containers and handling PBP products outside of
      required pharmacy conditions, and preparation of syringes up to 4 days in advance
      of their intended use. No additional septic arthritis cases were identified after
      infection prevention recommendations were implemented within the practice.
FAU - Ross, Kathleen
AU  - Ross K
FAU - Mehr, Jason
AU  - Mehr J
FAU - Carothers, Barbara
AU  - Carothers B
FAU - Greeley, Rebecca
AU  - Greeley R
FAU - Benowitz, Isaac
AU  - Benowitz I
FAU - McHugh, Lisa
AU  - McHugh L
FAU - Henry, David
AU  - Henry D
FAU - DiFedele, Lisa
AU  - DiFedele L
FAU - Adler, Eric
AU  - Adler E
FAU - Naqvi, Shereen
AU  - Naqvi S
FAU - Lifshitz, Edward
AU  - Lifshitz E
FAU - Tan, Christina
AU  - Tan C
FAU - Montana, Barbara
AU  - Montana B
LA  - eng
PT  - Journal Article
DEP - 20170728
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - *Ambulatory Care Facilities
MH  - Arthritis, Infectious/*epidemiology
MH  - *Disease Outbreaks
MH  - Humans
MH  - Injections, Intra-Articular/*adverse effects
MH  - New Jersey/epidemiology
MH  - Osteoarthritis, Knee/complications
MH  - Pain/drug therapy/etiology
MH  - Private Practice
EDAT- 2017/07/28 06:00
MHDA- 2017/08/02 06:00
CRDT- 2017/07/28 06:00
AID - 10.15585/mmwr.mm6629a3 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Jul 28;66(29):777-779. doi:
      10.15585/mmwr.mm6629a3.