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Infections from injectables can arise from intrinsically contaminated material or from contamination at the time the injectable is mixed or administered. The risk for the latter is increased when material from containers labeled as single-use or single-dose is used for multiple patients.
In March 2012, the Division of Public Health of the Delaware Department of Health and Social Services received notification of seven patients who were hospitalized with septic arthritis or bursitis caused by methicillin-resistant Staphylococcus aureus (MRSA). All had received joint injections at the same orthopedics clinic 11 to 13 days earlier; five of the seven had received injections on the same day. An additional three patients developed symptoms suggest…