Status:
Ready to upload
Record number:
1335
Adverse Occurrence type:
MPHO Type:
Time to detection:
1 hour
Alerting signals, symptoms, evidence of occurrence:
Bacteremic donor. Recipient's surveillance blood cultures drawn 1 h post operatively were positive for gram positive cocci in chains.
Demonstration of imputability or root cause:
Both the donor and recipient isolates were confirmed to be Group B Streptoccocus, serotype VI. This serotype represents 2% of the invasive Group B Streptococcal isolates of the provincial database over the preceding 5 years (Alberta, Canada). PFGE analysis not performed. Negative postoperative surveillance blood cultures for the remainder of the recipients from this donor (double lung, heart, 1 kidney and islets) that all received 2 weeks of antimicrobial therapy directed at the Group B Streptoccocus.
Imputability grade:
2 Probable
Groups audience:
Keywords:
Reference attachment:
Suggest references:
Doucette, K.E., Al-Saif, M., Kneteman, N., Chui, L., Tyrell, G.J., Kumar, D. and Humar, A. (2013). Donor-derived bacteremia in liver transplant recipients despite antibiotic prophylaxis A J Translplat 13(4): 1080-3.