Dialysis-Related Outbreaks
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Below is a list of dialysis-related outbreaks; these can be used as a point of reference and as resources for your facility. Click here for archived outbreaks.
Adverse Drug and Device Events
- Vascular access hemorrhage deaths among hemodialysis patients: a case review and risk factor analysis. Kidney Int 2012; 82(6):686-92. http://www.nature.com/ki/journal/v82/n6/full/ki2012185a.html
- Acute allergic-type reactions among patients undergoing http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5705a4.htmhemodialysis--multiple states, 2007-2008. MMWR Morb Mortal Wkly Rep. 2008 Feb 8;57(5):124-5. PubMed PMID: 18256585.
- Outbreak of bloodstream infection with the mold Phialemonium among patients receiving dialysis at a hemodialysis unit. N Engl J Med. 2008;359:2674-2684
- Gadolinium-containing magnetic resonance imaging contrast and nephrogenic systemic fibrosis: a case-control study. Am J Kidney Dis 2008; 51(6):976-986
- Nephrogenic Fibrosing Dermopathy Associated with Exposure to Gadolinium-Containing Contrast Agents — St. Louis, Missouri, 2002-2006. MMWR 2007;56(07);137-141.
Bacterial and Fungal Infections
- Outbreak of Clostridium difficile Infections at an Outpatient Hemodialysis Facility-Michigan, 2012-2013. Infect Control Hosp Epidemiol. 2015 Aug;36(8):972-4. http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9850495&fileId=S0899823X15000902
- Outbreak of bloodstream infections associated with multiuse dialyzers containing O-rings. Infect Control Hosp Epidemiol. 2014 Jan;35(1):89-91. http://journals.cambridge.org/download.php?file=%2F132_25143A7D26A667D8F809BE760DF1448F_journals__ICE_ICE35_01_S0195941700034822a.pdf&cover=Y&code=54d18e59d8bc4219417e3dfa463249ff
- Gram-Negative Bacteremia Outbreak and Dialyzer Reuse – California, 2013-2014. NKF Spring Clinical Meeting 2015; March 25-29, 2015; Dallas, TX. Abstract 183. http://ww2.aievolution.com/nkf1501/index.cfm?do=abs.viewAbs&abs=1371
- Vital Signs: Central Line--Associated Blood Stream Infections --- United States, 2001, 2008, and 2009 MMWR March 4, 2011 / 60(08);243-248
- Rao CY, Pachucki C, Cali S, Santhiraj M, Krankoski KL, Noble-Wang JA, Leehey D, Popli S, Brandt ME, Lindsley MD, Fridkin SK, Arduino MJ.
- Contaminated product water as the source of Phialemonium curvatum bloodstream infection among patients undergoing hemodialysis. Infect Control Hosp Epidemiol. 2009 Jul 17. [Epub ahead of print].
- Outbreak of Bloodstream Infections at an Outpatient Dialysis Center— Ohio, 2008. Annual SHEA Conference 2008; March 19-22, 2009; San Diego, CA. Abstract 64.
http://www.cdc.gov/eis/downloads/2009.eis.conference.pdf[PDF – 7.5 MB] - Outbreak of bloodstream infection with the mold Phialemonium among patients receiving dialysis at a hemodialysis unit. Infect Control Hospital Epidemiol 2006;27(11):1164-70.
- Clark T, Huhn GD, Connover C, Cali S, Arduino MJ, Hajjeh R, Brandt ME, Fridkin SK. Outbreak of bloodstream infection with the mold Phialemonium among patients receiving dialysis at a hemodialysis unit. Infect Control Hospital Epidemiol 2006;27(11):1164-70.
- McDonald LC, Hageman JC. Vancomycin intermediate and resistant Staphylococcus aureus. What the nephrologist needs to know. Nephrol News Issues. 2004 Oct;18(11):63-4, 66-7, 71-2
- Tuberculosis Transmission in a Renal Dialysis Center — Nevada, 2003. MMWR 2004; 53(37);873-875.
Chemical Intoxication
- Elevated Serum Aluminum Levels in Hemodialysis Patients Associated with Use of Electric Pumps — Wyoming, 2007. MMWR 2008; 57(25):689-691.
- Selenic D, Alvarado-Ramy F, Arduino M, Holt S, Cardinali F, Blount B, Jarrett J, Smith F, Altman N Stahl C, Panlilio A,1 Pearson M, Tokars J. Epidemic parenteral exposure to volatile sulfur-containing compounds at a hemodialysis center. Infect Control Hospital Epidemiol 2004; 25(3):256-261.
Microbial toxins
- See archives
Viral Hepatitis Outbreaks in Hemodialysis Facilities
Viral Infections
- Large Hepatitis C Virus Infection Outbreak at an Outpatient Hemodialysis Facility— Philadelphia, PA, 2008-2013. Annual CSTE Conference 2014; June 22-26, 2014; Nashville, TN. Abstract 141. https://cste.confex.com/cste/2014/webprogram/Paper3177.html
- Reactivation and Transmission of Hepatitis B Virus from an HIV-Positive Hemodialysis Patient— North Carolina, 2013. 63rd Epidemic Intelligence Service (EIS) Conference, April 28 – May 1, 2014; Atlanta, GA. http://www.cdc.gov/eis/downloads/2014-eis-conference.pdf [PDF – 4.7 MB]
- Outbreak of hepatitis C virus infections at an outpatient hemodialysis facility: The importance of infection control competencies. Nephrol Nurs J 2013;40(2):101-110, 164.
- Outbreak of hepatitis C virus infections in an outpatient dialysis facility—Georgia, 2011. 61st Epidemic Intelligence Service (EIS) Conference; April 16–20, 2012; Atlanta, GA. http://www.cdc.gov/eis/downloads/2012.eis.conference.pdf[PDF – 8.4 MB]
- Healthcare-Associated Hepatitis B and C Outbreaks1 Reported to the Centers for Disease Control and Prevention (CDC) in 2008-2011. Refer Hemodialysis section.
- Hepatitis C virus transmission in hemodialysis units: importance of infection control practices and aseptic technique. Infect Control Hosp Epidemiol. 2009 Sep;30(9):900-3.
- Hepatitis C Virus Transmission at an Outpatient Hemodialysis Unit — New York, 2001-2008. MMWR 2009; 58(08);189-194
- Nonhospital healthcare-associated hepatitis B and C virus transmission: United States, 1998-2008. Ann Intern Med. 2009;150(1):33-9.
- Page last reviewed: September 23, 2016
- Page last updated: September 23, 2016
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