Record number:
615
Adverse Occurrence type:
MPHO Type:
Time to detection:
1 week
Alerting signals, symptoms, evidence of occurrence:
There were 4 cases of postop endophthalmitis within one week, 3 from Enterococcus faecalis, one from Torulopsis glabrata. Ten of 11 donor rim cultures were positive but only 4 infections resulted. 2 of 4 recipients recovered eyesight. Cultures were positive with the same organism in the donor tissue and the recipient infection.
Demonstration of imputability or root cause:
Level 4 Certain. Same unusual microbe found in recipient infection and donor rim.
Imputability grade:
3 Definite/Certain/Proven
Keywords:
References:
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