The study showing the outbreak of the septic arthritis finding cases in New Jersey; Multiple violations of injection safety and infection prevention practices from lack of handwashing to inappropriate re-use of medication vials; were identifying after an outbreak of septic arthritis at a New Jersey outpatient.
But the study investigators finding 41 patients with osteoarthritis contracting the rare; painful infection following injections in their knee joints; including 33 who requiring surgical removal of damaging tissue.
This large, costly outbreak highlights the serious consequences that can occur when healthcare providers do not follow infection prevention recommendations; A state infection prevention assessment team identified 41 cases along with multiple breaches of recommended infection prevention practices; including inadequate hand hygiene, unsafe injection practices.
Septic arthritis cases
But in addition, to the exam tables where injections occurred were cleaned at most once a day; while surface cleaning prior to each preparation is recommending unless a clean barrier is using and poor cleaning and disinfection processes.
The assessment team finding multiple breaches of proper infection prevention and injection safety practices; including the lack of handwashing stations or alcohol-based rub in the exam rooms; exposing syringes, syringes with injectable substances drawn up to four days in advance; and inappropriate handling and re-use of single-use and multi-dose vials.
Unsafe injection practices
Nationally recommending infection prevention and control practices are applicable to all settings in which health care is provided; however, outpatient settings sometimes fail to provide the infrastructure and resources needed to support infection prevention activities; and often lack regulatory oversight.
Outbreaks related to unsafe injection practices indicate that certain healthcare personnel are either unaware, do not understand, or do not adhere to basic principles of infection prevention and aseptic techniques, confirming a need for education and thorough implementation of infection prevention recommendations.