P. Vigeant et al., AN OUTBREAK OF SERRATIA-MARCESCENS INFECTIONS RELATED TO CONTAMINATEDCHLORHEXIDINE, Infection control and hospital epidemiology, 19(10), 1998, pp. 791-794
An outbreak of Serratia marcescens infections occurred in a university
tertiary-care hospital. Alcohol-free chlorhexidine solutions were con
taminated with S marcescens. The majority of patient and chlorhexidine
strains bad similar pulsed field-gel electrophoresis banding patterns
. Chlorhexidine was recalled, and the rate of S marcescens isolation r
eturned to baseline. Chlorhexidine without alcohol should not be used
as an antiseptic (Infect Control Hosp Epidemiol 1998;19:791-794).