Control of an outbreak of postoperative bone mucormycosis: An intervention study of contiguous cohorts

CHAVES, MARCELO; FRANCO, DIEGO; NANNI, JUAN CARLOS; BASALDUA, MARÌA; BOLEAS, MARIANA; APHALO, GERMÁN; FELTES SILVA, PATRICIA; ELGADBAN, MARÍA; EMERY, FELIPA; GAMARRA, SOLEDAD; GARCIA, GUILLERMO; BANTAR, CARLOS

AMERICAN JOURNAL OF INFECTION CONTROL

MOSBY-ELSEVIER

Año: 2016

0196-6553

An outbreak of postoperative bone mucormycosis following arthroscopic anterior cruciate ligament reconstruction in a tertiary referral center in Paraná, Argentina, could have been transmitted through an arthroscopic anterior cruciate ligament reconstruction-exclusive contaminated item. The outbreak was controlled after changing from a system of direct delivery of implants and instruments to the operating room without proper verification, to a controlled and centralized process; specifically, the institution?s pharmacy verified the quality and traceability of implants, and instruments were processed only by the institution?s central sterile services department.