<i>Serratia liquefaciens</i>Bloodstream Infections from Contamination of Epoetin Alfa at a Hemodialysis Center

Abstract

Puncturing single-use vials multiple times and pooling preservative-free epoetin alfa caused this outbreak of bloodstream infections in a hemodialysis unit. To prevent similar outbreaks, medical personnel should follow the manufacturer's guidelines for the use of preservative-free medications.