Streptococcal Meningitis After Myelography

Outbreak of Bacterial Meningitis Among Patients Undergoing Myelography at an Outpatient Radiology Clinic

“…Although we did not detect S salivarius in the iohexol vials, not all vials used for casepatients were available for testing. Previous investigations of post-myelography bacterial meningitis had not identified multiple cases on the same day or vial contamination [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] but only noted lack of facemask use [1,3,9,13,15]. In our investigation, the detection of 3 cases on 1 day suggests that additional factors, such as reusing potentially contaminated vials between patients, could have contributed to transmission.…”

Outbreak of Bacterial Meningitis Among Patients Undergoing Myelography at an Outpatient Radiology Clinic

“…Although we did not detect S salivarius in the iohexol vials, not all vials used for casepatients were available for testing. Previous investigations of post-myelography bacterial meningitis had not identified multiple cases on the same day or vial contamination [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] but only noted lack of facemask use [1,3,9,13,15]. In our investigation, the detection of 3 cases on 1 day suggests that additional factors, such as reusing potentially contaminated vials between patients, could have contributed to transmission.…”

Streptococcus salivarius meningitis: a case report and literature review

“…There are only isolated case reports of Streptococcus salivarius meningitis (Majka et al, 1956;Lerner, 1975;Schlesinger et al, 1982;Legier, 1991;Carley, 1992;deJong and Barrs, 1992;Watanakunakorn and Stahl, 1992;Torres et al, 1993;Newton et al, 1994). We describe a case of Streptococcus safivarius meningitis which occurred following spinal anaesthesia.…”

Implementing AORN Recommended Practices for Sterile Technique

“…A clean mask should be worn securely “to prevent venting when open sterile supplies are present.” 1(p92) Personnel preparing, performing, or assisting with surgery and other invasive procedures should always wear a properly fitted mask, including during insertion of regional 8 and spinal anesthesia infusions, central venous catheters, peripheral central catheters, and guidewire exchanges, to protect the patient and surgical site from microbial contamination from the wearer's nose and mouth 6,7,9 . Masks are also required during invasive procedures of the spinal canal, analogous to lumbar puncture or myelograms 9‐18 . Nurses should participate in organization‐wide committees to help ensure that these recommendations are incorporated into surgical, anesthesia, and interventional radiology policies and procedures.…”

Outbreak of Bacterial Meningitis Among Patients Undergoing Myelography at an Outpatient Radiology Clinic

“…Although we did not detect S salivarius in the iohexol vials, not all vials used for casepatients were available for testing. Previous investigations of post-myelography bacterial meningitis had not identified multiple cases on the same day or vial contamination [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] but only noted lack of facemask use [1,3,9,13,15]. In our investigation, the detection of 3 cases on 1 day suggests that additional factors, such as reusing potentially contaminated vials between patients, could have contributed to transmission.…”

Streptococcus salivarius meningitis: a case report and literature review

“…There are only isolated case reports of Streptococcus salivarius meningitis (Majka et al, 1956;Lerner, 1975;Schlesinger et al, 1982;Legier, 1991;Carley, 1992;deJong and Barrs, 1992;Watanakunakorn and Stahl, 1992;Torres et al, 1993;Newton et al, 1994). We describe a case of Streptococcus safivarius meningitis which occurred following spinal anaesthesia.…”

Implementing AORN Recommended Practices for Sterile Technique

“…A clean mask should be worn securely “to prevent venting when open sterile supplies are present.” 1(p92) Personnel preparing, performing, or assisting with surgery and other invasive procedures should always wear a properly fitted mask, including during insertion of regional 8 and spinal anesthesia infusions, central venous catheters, peripheral central catheters, and guidewire exchanges, to protect the patient and surgical site from microbial contamination from the wearer's nose and mouth 6,7,9 . Masks are also required during invasive procedures of the spinal canal, analogous to lumbar puncture or myelograms 9‐18 . Nurses should participate in organization‐wide committees to help ensure that these recommendations are incorporated into surgical, anesthesia, and interventional radiology policies and procedures.…”

Outbreak of Bacterial Meningitis Among Patients Undergoing Myelography at an Outpatient Radiology Clinic

“…Although we did not detect S salivarius in the iohexol vials, not all vials used for casepatients were available for testing. Previous investigations of post-myelography bacterial meningitis had not identified multiple cases on the same day or vial contamination [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] but only noted lack of facemask use [1,3,9,13,15]. In our investigation, the detection of 3 cases on 1 day suggests that additional factors, such as reusing potentially contaminated vials between patients, could have contributed to transmission.…”

Streptococcus salivarius meningitis: a case report and literature review

“…There are only isolated case reports of Streptococcus salivarius meningitis (Majka et al, 1956;Lerner, 1975;Schlesinger et al, 1982;Legier, 1991;Carley, 1992;deJong and Barrs, 1992;Watanakunakorn and Stahl, 1992;Torres et al, 1993;Newton et al, 1994). We describe a case of Streptococcus safivarius meningitis which occurred following spinal anaesthesia.…”

Implementing AORN Recommended Practices for Sterile Technique

“…A clean mask should be worn securely “to prevent venting when open sterile supplies are present.” 1(p92) Personnel preparing, performing, or assisting with surgery and other invasive procedures should always wear a properly fitted mask, including during insertion of regional 8 and spinal anesthesia infusions, central venous catheters, peripheral central catheters, and guidewire exchanges, to protect the patient and surgical site from microbial contamination from the wearer's nose and mouth 6,7,9 . Masks are also required during invasive procedures of the spinal canal, analogous to lumbar puncture or myelograms 9‐18 . Nurses should participate in organization‐wide committees to help ensure that these recommendations are incorporated into surgical, anesthesia, and interventional radiology policies and procedures.…”