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Journal of Clinical Microbiology, January 2001, p. 392-393, Vol. 39, No. 1
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.1.392-393.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Skin Disease Presenting as an Outbreak of Pseudobacteremia in a Laboratory Worker

A. Simhon,* G. Rahav, M. Shapiro, and C. Block

Department of Clinical Microbiology and Infectious Diseases, Hadassah University Hospital, Ein Kerem, Jerusalem

Received 14 August 2000/Returned for modification 16 September 2000/Accepted 27 October 2000

An outbreak of pseudobacteremia due to Streptococcus pyogenes (group A streptococci [GAS]) and methicillin-susceptible Staphylococcus aureus (MSSA) was traced to the venting procedure for aerobic bottles prior to their loading into the incubator of the BacT/Alert analyzer (Organon Teknika). Bacteria shed by a laboratory worker suffering from impetigo and cellulitis contaminated the aerobic bottles of 10 patients. All blood culture isolates, in addition to the isolates from the laboratory worker, were of the same GAS M and T types. All MSSA isolates from blood cultures and the index case's hands had the same lytic phage profile. Procedural breakdowns were identified in the laboratory. Bottles were vented outside the biological safety cabinet, gloves were not worn, and unprotected needles were used for the venting procedure. The source of the aspirated bacteria that contaminated the bottles was identified and the index case was treated promptly.


* Corresponding author. Mailing address: Department of Clinical Microbiology and Infectious Diseases, Hadassah University Hospital, Ein Kerem, Jerusalem. Phone: 972-2-677-6543. Fax: 972-2-641-9545. E-mail: simhon{at}hadassah.org.il.


Journal of Clinical Microbiology, January 2001, p. 392-393, Vol. 39, No. 1
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.1.392-393.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.