Pseudobacteremia attributed to contamination of povidone-iodine with Pseudomonas cepacia

Ann Intern Med. 1981 Jul;95(1):32-6. doi: 10.7326/0003-4819-95-1-32.

Abstract

Pseudomonas cepacia was recovered from the blood cultures of 52 patients in four hospitals in New York over 6 months from April through October 1980. Epidemiologic investigation in one hospital indicated that the positive results of blood culture represented pseudobacteremias and implicated a 10% povidone-iodine solution used as an antiseptic and disinfectant (Pharmadine; Sherwood Pharmaceutical Company, Mahwah, New Jersey) as the source of contamination. Physicians who drew blood cultures positive for P. cepacia were more likely to have left povidone-iodine on the skin before venipuncture (p = 0.026) and were more likely to have applied povidone-iodine to the blood culture bottle tops and to have left it there while inoculating the blood culture media (p = 0.007) than those who drew cultures negative for P. cepacia. Direct inoculation of Pharmadine into brain-heart infusion broth yielded P. cepacia; however, 2 weeks after the first cultures, the same Pharmadine bottles were culture negative. The iodine concentrations of the contaminated Pharmadine solutions were similar to those of 10% povidone-iodine solutions distributed by other manufacturers.

MeSH terms

  • Blood Specimen Collection
  • Drug Contamination*
  • Humans
  • Povidone* / analogs & derivatives
  • Povidone-Iodine* / adverse effects
  • Pseudomonas Infections / diagnosis*
  • Pseudomonas Infections / etiology
  • Sepsis / diagnosis*
  • Sepsis / etiology

Substances

  • Povidone-Iodine
  • Povidone