Missouriwatcher
Editor, Senior Moderator
March 29, 2011 - The Alabama Department of Public Health today is announcing an ongoing investigation of an outbreak of Serratia marcescens bacteremia in six Alabama hospitals. On March 16, ADPH was notified that an outbreak had occurred in two of these hospitals among patients receiving TPN (total parenteral nutrition).
TPN is liquid nutrition fed through an IV using a catheter. Use of contaminated products may lead to bacterial infection of the blood.
ADPH requested assistance from the Centers for Disease Control and Prevention. CDC's initial investigation identified TPN produced by a single pharmacy, Meds IV, as a potential common source and has determined that these hospitals received TPN from this pharmacy. Affected hospitals are Baptist Princeton, Baptist Shelby, Baptist Prattville, Medical West, Cooper Green Mercy and Select Specialty Hospital in Birmingham.
Meds IV was notified and informed its customers of the possibility of contamination. ADPH has been informed that impacted hospitals immediately stopped using TPN received from this pharmacy and that the pharmacy discontinued all production. On March 24, Meds IV recalled all of its IV compounded products. The U.S. Food and Drug Administration is aware of the voluntary recall. The pharmacy and the hospitals are cooperating with the investigation.
At this time, ADPH is aware of 19 cases in these six hospitals of Serratia marcescens bacteremia related to this outbreak.
ADPH will provide updates as more information becomes available.
Product List
Bronch Procedure Kit
Bupivacaine Epidural Bag
Cardioplegia Solutions
Cefazolin 2 gm Syringe
Dialysate Solution
Fentanyl /Ropivacaine Epidural Bag
Fentanyl/ Bupivacaine Epidural Bag
Folic Acid 1mg/0.2ml Syringe
Glycopyrrolate 0.2mg/ml 1ml in 3ml Syringe
Heparin IV Bags
Hydromorphone Intravia Bag
Hydromorphone PCA Syringe
Ketamine Syringe
Labetalol syringe
Lorazepam 2mg/ml syr
Meperidine 10mg/100ml NS(Intravia Bag)
Morphine 1mg/ml PCA 100ml Intravia Bag
Neostigmine 3mg Syringe
Nitroglycerin IV Bag
Nitroglycerin Syringe
Norepinehrine IV Bag
Oxytocin Bags
Sodium Chl 23.4% (4meq/ml) 10ml Syr
Succinylcholine 20mg/ml 5ml Syringe
TPN Solution
Vancomycin IV Bag
http://www.fda.gov/Safety/Recalls/ucm249068.htm
TPN is liquid nutrition fed through an IV using a catheter. Use of contaminated products may lead to bacterial infection of the blood.
ADPH requested assistance from the Centers for Disease Control and Prevention. CDC's initial investigation identified TPN produced by a single pharmacy, Meds IV, as a potential common source and has determined that these hospitals received TPN from this pharmacy. Affected hospitals are Baptist Princeton, Baptist Shelby, Baptist Prattville, Medical West, Cooper Green Mercy and Select Specialty Hospital in Birmingham.
Meds IV was notified and informed its customers of the possibility of contamination. ADPH has been informed that impacted hospitals immediately stopped using TPN received from this pharmacy and that the pharmacy discontinued all production. On March 24, Meds IV recalled all of its IV compounded products. The U.S. Food and Drug Administration is aware of the voluntary recall. The pharmacy and the hospitals are cooperating with the investigation.
At this time, ADPH is aware of 19 cases in these six hospitals of Serratia marcescens bacteremia related to this outbreak.
ADPH will provide updates as more information becomes available.
Product List
Bronch Procedure Kit
Bupivacaine Epidural Bag
Cardioplegia Solutions
Cefazolin 2 gm Syringe
Dialysate Solution
Fentanyl /Ropivacaine Epidural Bag
Fentanyl/ Bupivacaine Epidural Bag
Folic Acid 1mg/0.2ml Syringe
Glycopyrrolate 0.2mg/ml 1ml in 3ml Syringe
Heparin IV Bags
Hydromorphone Intravia Bag
Hydromorphone PCA Syringe
Ketamine Syringe
Labetalol syringe
Lorazepam 2mg/ml syr
Meperidine 10mg/100ml NS(Intravia Bag)
Morphine 1mg/ml PCA 100ml Intravia Bag
Neostigmine 3mg Syringe
Nitroglycerin IV Bag
Nitroglycerin Syringe
Norepinehrine IV Bag
Oxytocin Bags
Sodium Chl 23.4% (4meq/ml) 10ml Syr
Succinylcholine 20mg/ml 5ml Syringe
TPN Solution
Vancomycin IV Bag
http://www.fda.gov/Safety/Recalls/ucm249068.htm