RT Journal
A1 Goetz A, Yu VL, Hanchett JE, Rihs JD
T1 PSeudomonas stutzeri bacteremia associated with hemodialysis
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1983
FD October 1
VO 143
IS 10
SP 1909
OP 1912
DO 10.1001/archinte.1983.00350100073018
UL http://dx.doi.org/10.1001/archinte.1983.00350100073018
AB • Pseudomonas stutzeri bacteremia developed in six patients undergoing hemodialysis. Fever, shaking chills, nausea, and vomiting were observed. All patients recovered, although only two received specific antibiotic therapy. The infections occurred sporadically over a period of nine months. Pseudomonas stutzeri was subsequently isolated from the dialysate that circulates within the hemodialysis machine. The ultimate source was the deionized water that is combined with the liquid concentrate to form the dialysate. Pseudomonas stutzeri could be localized to the top cannister of the dialysis machine but was also isolated throughout the machine, including the bottom reservoir and the recirculating pump. The emphasis on handwashing, strict compliance with disinfection procedures, and elimination of prolonged sitting times for the filled machine after disinfection resulted in no further cases of P stutzeri infection.(Arch Intern Med 1983;143:1909-1912)