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pubmed-article:11245082pubmed:dateCreated2001-3-13lld:pubmed
pubmed-article:11245082pubmed:abstractTextEscherichia coli has seldom been reported to cause pseudobacteremia. The investigation of an outbreak of amoxycillin-clavulanic acid-resistant E. coli pseudobacteremia is described. Seventeen cases occurred over a five-day period. The source of the E. coli was traced to the blood culture specimen of a patient (index patient) with genuine bacteremia as a result of urinary tract infection. The other 16 case-patients had pseudobacteremia which was found to be the result of cross-contamination during subculture of blood specimens. The E. coli strain was carried over from the culture bottle of the index patient, through the contaminated gloved hands of a technician to the culture bottles of the other 16 cases. Although the pseudobacteremia occurred over a five-day period, they all resulted from cross-contamination during blood culture processing within one day. An early outbreak investigation was prompted by the unusual finding of amoxycillin-clavulanic acid resistance in the case E. coli isolates in a short period. The relatedness of the E. coli strains from the 17 cases was confirmed by arbitrary-primed polymerase chain reaction. Clinicians should be alerted to the possibility of a blood E. coli isolate being a contaminant despite its predominant role as a true pathogen.lld:pubmed
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pubmed-article:11245082pubmed:authorpubmed-author:HoP LPLlld:pubmed
pubmed-article:11245082pubmed:authorpubmed-author:WongS YSYlld:pubmed
pubmed-article:11245082pubmed:authorpubmed-author:LoY CYClld:pubmed
pubmed-article:11245082pubmed:authorpubmed-author:SatoS HSHlld:pubmed
pubmed-article:11245082pubmed:authorpubmed-author:YuenK YKYlld:pubmed
pubmed-article:11245082pubmed:authorpubmed-author:LukW KWKlld:pubmed
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pubmed-article:11245082pubmed:volume111lld:pubmed
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pubmed-article:11245082pubmed:year1998lld:pubmed
pubmed-article:11245082pubmed:articleTitlePseudobacteremia with amoxycillin-clavulanic acid-resistant Escherichia coli traced to cross-contamination during blood culture processing.lld:pubmed
pubmed-article:11245082pubmed:affiliationDepartment of Microbiology, Faculty of Medicine, University of Hong Kong, Hong Kong, China.lld:pubmed
pubmed-article:11245082pubmed:publicationTypeJournal Articlelld:pubmed