Extended drip infusion of peripheral parental nutrition containing amino acids might be associated with Bacillus cereus bloodstream infection

Am J Infect Control. 2019 Sep;47(9):1154-1156. doi: 10.1016/j.ajic.2019.02.020. Epub 2019 Apr 30.

Abstract

In some Japanese hospitals, patients using infusion bags for parenteral nutrition containing amino acids have developed Bacillus cereus bloodstream infections. We considered that proliferation of contaminated B cereus in the bag during prolonged drip infusion might be one of the causes of infection. This study indicated that 8 h is the maximum appropriate drip infusion time for peripheral parental nutrition containing amino acids to prevent B cereus bloodstream infections.

Keywords: Contamination; Drip infusion time; Spore-forming.

MeSH terms

  • Amino Acids / administration & dosage
  • Amino Acids / adverse effects*
  • Bacillus cereus / isolation & purification*
  • Bacteremia / etiology*
  • Bacteremia / microbiology
  • Cross Infection
  • Drug Contamination*
  • Gram-Positive Bacterial Infections / etiology*
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Infusions, Intravenous / adverse effects*
  • Infusions, Intravenous / methods
  • Japan
  • Parenteral Nutrition / adverse effects*
  • Parenteral Nutrition / methods

Substances

  • Amino Acids