hermes Nine dead in Alabama hospitals

Nine dead in Alabama hospitals after receiving contaminated intravenous supplements

A total of 19 patients in six hospitals were confirmed to be infected, the Centers for Disease Control and Prevention found in an investigat hermes ion called at the state’s request. The hospitals were Princeton Baptist Medical Center, Shelby Baptist Medical Center, Cooper Green Mercy Hospital, Medical West, Prattville Baptist Hospital and Select Specialty Hospital, a long term acute care hospital that operates within Trinity Medical Center.All received bags of nutritional supplements given via IV to patients who are too ill to eat that were compounded by a Birmingham pharmacy called Meds IV. Meds IV recalled the product and stopped making and shipping it, State Health Officer Don Williamson said in a news conference.Those were the only six hospitals that used Meds IV’s version of the product, and all have since switched suppliers, he said.”This does not, based on everything we know right now, pose a threat to anyone that we have not already identified as part of the investigation,” Williamson said. He stressed that it is impossible to know whether the nine deaths reported were caused by the bacteria or by underlying health problems.He would not say how many patients died at specific hospitals or what they were being treated for. He also said that investigators are still trying to figure out just how many patients were exposed to the contaminated product, although it hermes ‘s likely to be a limited number. In addition, anyone who r hermes eceived the contaminated IV would have likely shown symptoms immediately because the bacteria was delivered straight to the bloodstream.Efforts to reach Meds hermes IV and its president for comment Tuesday evening were unsuccessful.Total parenteral nutrition, also called TPN, has a very limited shelf life and is mixed daily to order for each patient and sent in sterile bags to hospitals, which give it to some of their sickest patients, including burn victims, chemotherapy patients and those in intensive care after surgery. Williamson said it seemed likely that the bacteria, called Serratia marcescens, tainted the product while it was being compounded at the pharmacy.The bacteria is a common one but isn’t usually found in the bloodstream, where it can be fatal.Twelve of the infected patients were at two hospitals run by Baptist Health Systems, which was the first to spot the problem and report it. Four died at Princeton Baptist and two died at Shelby Baptist, said Elizabeth Ennis, the hospital group’s chief medical officer.”Because quality patient care is our top priority, this event is deeply disturbing to all of us at Baptist Health Systems,” Ennis said.On March 14, infection control workers at those two hospitals noticed the sudden appearance of S. marcescens in patients’ blood, Ennis said. They quickly realized that those infected had all received TPN.They started to grow a culture from the bags to check for contamination, which can take 24 to 48 hours.Meanwhile, they stopped using the supplements and notified the Alabama Department of Health which said it was contacted March 16 and CDC, Ennis said. On March 15, Meds IV informed the hospitals of the problem; two days later, it sent a notice saying it had stopped all TPN production. On March 24, it voluntarily recalled all of its mixed intravenous products sold since Jan. 1, including IV bags of pain medications, nitroglycerin and dialysis solution.”This is the way the system should work,” said Williamson, who said the hospitals, pharmacy and health officials were all working together on the ongoing investigation and that the federal Food and Drug Administration had also been notified. “Very quickly you got the shutoff of the production of the product, the cessation of use of the product and the investigation done.”